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International Journal of
eISSN: 2381-1803

Complementary & Alternative Medicine

Research Article Volume 8 Issue 3

Extraction of Hydroxyapatite from Bovine and Human Cortical Bone by Thermal Decomposition and Effect of Gamma Radiation: A Comparative Study

Masud Rana, Naznin Akhtar, Shaifur Rahman, Hossen Mohammad Jamil, Sikder M Asaduzzaman

Institute of Tissue Banking and Biomaterial Research, Atomic Energy Research Establishment, Bangladesh

Correspondence: Sikder M Asaduzzaman, Institute of Tissue Banking and Biomaterial Research, Atomic Energy Research Establishment, Dhaka 1349, Bangladesh, Tel +8801726894690

Received: July 09, 2017 | Published: August 21, 2017

Citation: Rana M, Akhtar N, Rahman S, Jamil HM, Asaduzzaman SM (2017) Extraction of Hydroxyapatite from Bovine and Human Cortical Bone by Thermal Decomposition and Effect of Gamma Radiation: A Comparative Study. Int DOI: 10.15406/ijcam.2017.08.00263

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Abstract

Hydroxyapatite (HA) was extracted from bovine and human cortical bone by thermal decomposition process and was characterized using several analytical tools, including thermo-gravimetric analysis (TGA), X-ray diffraction analysis (XRD), X-ray fluorescence analysis (XRF), Flourier transformed infrared spectroscopy (FTIR) and scanning electron microscopy (SEM). Removal of organic matter from the bone was confirmed by TGA. XRD data confirmed that HA was the only crystalline phase when sintered at 950 °C. XRF analysis revealed that calcium and phosphorus were the main components and magnesium, sodium were the minor elements in which some trace elements (iron, potassium and zinc) were also present. FT-IR spectra of HA confirmed the presence of a carbonated group and the similarities to commercial HA. When HA were irradiated at 25kGy, there was no significant change of their properties. In vitro cytotoxicity of the HA powder were also evaluated and the samples showed no cytotoxic effect. These results suggested that HA derived from bovine and human bone by thermal decomposition has the potential to be used in bone tissue engineering.

Keywords: hydroxyapatite, human bone, crystallinity, radiation, cytotoxicity

Introduction

In the recent year, the use of artificial materials in the biomedical application has been increased significantly due to the limited accessibility of natural bone for grafting. When the fracture is occurred, the ability of self-repairing of bone is limited. Small fractures are usually able to heal perfectly, but larger fractures can leave permanent damage.1,2

For the treatment of bone defect autogenous bone is most desirable, but there are several drawbacks and risks involved in using autogenic bone such as limited harvest due to insufficient donors, post-operative pain, increased blood loss, secondary surgical wounds and risk of thrombosis.3–5 Allograft bone could overcome the above limitations, but it endures the risk of transmission of infection (e.g. HIV, Hepatitis etc.).6–8 another possible alternative of treatment for bone defect is xenogenous bone, which is morphologically and structurally similar to human bone. It is usually derived from bovine origin and easy to obtain, lower cost and available in unlimited supply.

At the material level, bone is composed of organic and inorganic components. The organic part contains mainly collagen and proteins, whereas the inorganic component is mainly hydroxyapatite (HA) with a small percentage of other elements being incorporated in the structure such as carbonate, magnesium and sodium etc.9

HA is one type of bio-ceramic materials that properties and structure is resemblance with the mineral phase of bone. It is not only a biocompatible, osteoconductive, osteoinductive, non-toxic, non-inflammatory and non-immunogenic agent, but also bioactive and has the ability to form a bond with the surrounding bone tissue after implantation. It has been studied to grow and develop to similar natural bone.10–12

Different chemically synthesis methods were reported for HA, such as sol-gel,13 wet chemical precipitation,14 hydrothermal method.15, microwave irradiation.16 etc. Synthesized HA does not have adequate biological properties as the natural apatite existing in bones. In this regard, scientists have attempted to produce synthetic HA scaffolds from several natural sources such as coral,17 egg shells,18,19 and bone.20,21

Sterilization is important to use HA in bone defect. Gamma radiation has been widely used in sterilization application for different materials. The effect of gamma radiation on HA will be good information for application of HA in bone tissue engineering. The purpose of this work to investigated properties and characteristics of gamma radiation on HA which derived from bovine and human bone via thermal decomposition process.

Material and methods

Material

Cortical bone (femur, tibia, fibula, humerus, radius and ulna) of adult bovine (~2-3 years old) was procured from local slaughtering house (Bolivadra bazaar, Savar, Dhaka, Bangladesh). Human cortical bone used in this study was a biologically no longer active femur, collected from the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, Bangladesh. All the long bones were cleaned to remove visible adhered impurities and substances such as joint cartilage, ligaments and soft tissues stuck on the bone using bp blade no 22. Then the bones were cut at the metaphysis using electric band saw (AEW, 250) and the diaphysis of the bones was taken for HA extraction.

Bone preparation

Human and bovine bone samples were separately boiled in deionized water for about 8 hours for easy removal of the bone marrow and tendons. Then the bones were cut into small pieces (~10 mm× 5 mm×5 mm). After that the bone has been deproteinized by boiling in water. The boiled bone samples were dried overnight at 100°C in order to avoid soot formation on the surface of the material during the heating treatment.

Thermal decomposition

The as received dried bone samples were annealed in an electric furnace (Borel, 1600, Swetzarland), under ambient condition at four different temperatures ranging from 650 to 1250 °C, using a heating rate of 5 °C/min with 3 hours holding time consequentially as multi stage sintering. These temperatures were selected after a preliminary thermogravimetric analysis. The sintered product was crashed with mortar & pestle and sieved with mesh no. 200. To determine the color and weight loss of bone sample at individual stage, samples were sintered at 200-1200 °C using a heating rate of 5°C/min with 3 hours holding time at 100 °C temperature interval.

Characterization methods

For characterization of as-prepared HA, phase purity analysis, particle size determination and microstructural analysis were performed using X-ray diffraction (XRD) and scanning electron microscopy (SEM) subsequently. The phase and crystallinity of HA were evaluated using X-ray diffractometer (X’Pert PRO PW 3040), Cu-Kα radiation and over a range 2θ from 10° to 70° angle, step size 0.02/s, with 40 kV voltages and 30 mA current. The XRD pattern were analyzed and compared with “X”pert high score and “X’Pert plus” software (“Xpert Highscore” File No. 01-086-0740) to identify the phase. Mass loss pattern during heating were studied by using a TGA analyzer (TGA analyzer, Model Q600, USA). The thermo-gravimetric analysis of the bone samples during heating were recorded from 30 °C to 800 °C at a heating rate of 10 °C/min in a continuous flow of nitrogen. The stretching frequencies of samples were examined by FTIR analysis (FTIR 8400S, Shimadzu spectrophotometer, Japan) in the range 4000-40 °Cm-1. Morphology of HA crystals was obtained by Scanning electron microscopy (JSM 6490LA, Jeol, Japan). A shimadzu XRF-1800, X-ray fluorescence spectrometer was used to obtain elemental chemical composition of the extracted powder. In order to prepare samples for XRF analysis, the powder was poured into a special die and compacted in a pressing machine with 40 kN load to prepare a disk shaped specimen 15 mm in diameter and 2 mm in thickness.

In vitro cytotoxicity study

The brine shrimp lethality bioassay method was used to predict the cytotoxic activity of the desired sample. It is also a primary toxicity screening technique used as an initial screening of bioactive compounds. The brine shrimp, Artemia salina, was used as a convenient monitor for the screening. The eggs of the brine shrimp, hatched in artificial seawater (3.8% NaCl in water) and pH was adjusted at 8.5 using 0.1N NaOH under constant aeration for 48 hr to mature shrimp called nauplii. After hatching, active nauplii were collected from brighter portion of the hatching chamber and used for the assay. HA powder was dissolved in artificial seawater at 0.25, 0.50 and 0.75 mg/mL concentration and was taken in Petri plates where the active nauplii were inoculated. After overnight incubation, the nauplii were counted. At the same time, 0.5 mg/mL of vincristine sulfate was used to as a positive control.

Results and Discussion

Calcinations temperature determination

The TGA result Figure-01 shows that the TGA curve reaches balance at 600 °C. It indicates that the organic substances in human and bovine bone removed fully. Based on TGA result, 650 °C was chosen as the minimum temperature to calcine the sample as multi stage sintering.

Figure 1 TGA analysis of bovine and human bone.

General observation

In this study, HA was extracted from bovine and human cortical bone by thermal decomposition processes. In this process, bones were multi stage calcined at different temperature sequentially. In this process 62.71% and 59.32% of HA was extracted from bovine and human bone respectively (Table 1).

S. No.

Temperature (°C)

% of weight loss

Color

Bovine bone

Human bone

Bovine bone

Human bone

1

Raw Bone

n/a

n/a

Yellowish

Yellowish white

2

200

4.28

4.18

Brownish

Off white

3

300

22.63

26.37

Black

Black

4

400

23.37

27.43

Light black

Charcoal

5

500

26.47

30.08

Dark ash

Dark ash

6

600

27.01

31.22

Gray

Gray

7

700

30.66

33.99

White

White

8

800

31.27

34.32

White

White

9

900

32.05

34.58

White

White

10

1000

32.89

34.79

White

White

11

1100

34.64

37.13

Snow white

Snow white

12

1200

37.81

40.17

Crystal white

Crystal white

Table 1 Residues and color of calcined bovine and human bone

During calcination at different temperature, the percentage of weight loss and color change of bovine and human bones are shown in Table 1. After calcination at different temperatures, the colors of the bone were changed due to removal of organic portion. The color of the raw bovine bone was observed as yellowish and yellowish white for bovine and human respectively, which consequently altered into brownish, black, light black, dark ash and gray for bovine bone and off white, black, charcoal, dark ash and gray for human bone at 200°C, 300 °C, 400°C, 500 and 600°C temperatures respectively. The color of the bovine and human bone turned into white with further increase in the temperature. The different colors observed below 700°C revealed the association of the organic matrix within the bone.

Thermo-gravimetric analysis

The removal of the organic portion from bovine bone and human bone confirmed by TGA analysis and the results are shown in Figure 1.

In the TGA curves, two inflection points were observed in the bovine bone and human bone at 100.0 °C and 500 °C which corresponds to removal of the water and organic matter. No significant weight loss was observed between 600 °C and 800 °C, indicating the complete removal of organic materials such as collagen, chondroitin sulfate, keratin sulfate, and lipids below 600 °C in both bovine and human bone.

XRD analysis

The phase and purity of derived HA crystals were confirmed with XRD analysis. Figure-2 shows the XRD patterns of the bovine and human bone produced after annealing at (a) 650 °C, (b) 950 °C, (c) 1050 °C and (d) 1250 °C and the XRD data of the 950 °C are tabulated in Table 2 with standard HA (“Xpert Highscore” File No. 01-086-0740) (Figure 2).

Figure 2 XRD analysis of HA, extraction from bovine bone (bHA) and human bone (hHA) through annealing. (a) 650°C (b) 950°C (c) 1050°C (d) 1250°C

These diffraction patterns show a gradual increase in the degree of sharpness of peaks with increasing heat treatment temperature, indicating the extent of crystallinity of the HA produced at various temperatures. Further, it also shows the influence of preparing temperature to HA crystal size. The main peak of HA crystals lead to broader diffraction peaks. With the temperature increasing from 650 to 1250°C, the HA peaks become sharper and more distinct at 950°C treated sample. The sharp and distinct peaks indicated a high degree of crystallinity. It means that less than 950°C has no influence to HA crystal size. At the upper temperature HA crystal does not increase continuously with the rising temperature. Further increasing of temperature HA may convert into another phases of calcium apatite.

The different prominent XRD peak position and d-spacing which corresponds to the plane (211), (3 0 0), (1 1 2), (2 1 3), (2 2 2) and (2 0 2) of annealed bone (bHA and hHA) at 950°C and compared with the standard HA (“Xpert Highscore” File No. 01-086-0740) results. The values of sample are almost same as standard HA value (Supplementary Table 1).

To obtain a level of perfection information HA crystal formation, was calculated (degree of crystallinity) sing the following equation- Xc (%) ͠͠=1-(V112/300 / I 300)

Where
V112/300 = Valley intensity between peaks 112 and 300
I 300 = Peak intensity 300
Xc value is a fraction of crystalline phases that exist in the sample where:
Xc >70% usually considered to be a high degree of crystal
30% >Xc >70% Medium degree of crystal
Xc <30% low degree of crystal

By using the formula above then degrees of crystalline of HA could be calculated and tabulated at Table 2.

No

Temperature (°C)

Degree of crystallinity (%)

Degree of crystallinity

bHA

hHA

bHA

hHA

1

650

Not Separated Peak

Not Separated Peak

Amorf

Amorf

2

950

98.92

99.13

High

High

3

1050

98.70

99.06

High

High

4

1250

98.51

98.82

High

High

Table 2 Degree of crystallinity for HA extracted from bovine bone (bHA) and human bone (hHA) with different calcination temperature

XRD analyzes were performed on HA powder from bovine and human bones are calcined with temperature variations between 650-1250 °C resulting from this research is the HA phase. In this research, it also revealed that, by increasing rate of calcination temperature, the degree of crystallinity is decreased due to conversion of HA into other apatite phases. It is also noted that the crystallinity rate of hHA is more than bHA.

FTIR analysis

FTIR spectrum values of HA was extracted from bovine cortical bone (bHA) and human bone (hHA) by annealing at 950°C as summarized in Table 3. The results are compared with commercially synthetic HA (Sigma CAS No.12167-74-7). It shows that, a large number of bands in the spectra (470, 572, 603, 1058, 1462, 1633, 2854, 2924, 3452, 3782 cm-1) matches the bands in the commercial HA (cHA) reference spectrum and are in close agreement with reported data on HA.22 The absorption bands at 3452, 3782 cm-1 in cHA, 3456,3774 cm-1 in bHA and 3456,3773 cm-1 in hHA respectively correspond to the stretching and vibration of the lattice OH- ions, while the bands of absorbed water are shown at 1633, 2854,2924 cm-1 ; 1633, 2860, 2927 cm-1 and 1634, 2928 cm-1. The characteristic bands for CO32- were assigned at 1411, 146°Cm-1 for bHA and 1462, 1414 cm-1 for hHA correspondingly; no peak were presented in cHA. Manalu et al.24 reported that the stretching band 3420-3570 cm-1 originate by hydroxyl group.23 Carbonate ions are a common impurity in both synthetic and natural HA.24 The characteristic bands for PO43- appeared at 470 and 474 cm-1 for the ν1 mode in cHA and bHA sequentially. The signal became clearly as the hydration processing. The observation of the ν3 symmetric P-O stretching vibration at 1058 and 1051 cm-1 for cHA and bHA as a distinguishable peak, together with the bands 572/603 cm-1 & 570/603 cm-1 corresponding to ν4 bending vibration indicates.

Name of the chemical group

Absorption band frequency (cm–1)

Reference

cHA

bHA

hHA

PO4 3- band V1

471

474

474

[25-26]

PO4 3-band V3

1059

1051

1051

[25-26]

PO4 3- band V4

573, 604

571, 604

569, 604

[25-27]

CO32-

 

1460, 1411

1462,1414

[25,28-29]

Absorbed H2O

1634, 2855, 2924

1634, 2860, 2928

1634,2928

[26,28]

OH structural

3453, 3782

3456, 3775

3456,3773

[25-27]

Table 3 Peaks of infrared spectra assigned to commercial HA (cHA) and HA derived from bovine bone (bHA) and human bone (hHA)

Figure 3 FTIR results of – commercial HA (cHA), bovine bone HA (bHA) and human bone (hHA).

Different types of chemical bonds which are present in various components of bone at given infrared absorption bands. Changes in the environment of molecules cause shifts in the intensities and positions of their corresponding absorption bands. The bands associated with the amide groups of proteins (1250 cm-1, 1560 cm-1 and 1650 cm-1) which are observed on the spectrum of bone do not exist on the FTIR spectrum of bone ash prepared in this investigation. On the other hand, the bands for phosphate and carbonate groups in bone ash occur at the same wave numbers as those reported for bone.30 On the other hand, it’s the same result as shown in the sample from commercial HA powders. The FTIR spectrum of the sample which was annealed at 950°C (Figure 3) is in good agreement with the spectra reported by Markovic et al.31 for a HA-synthetic reference material.31 It is also divulged that there are not any significant difference of commercial HA and extracted HA from bovine and human bone.

XRF Analysis

The results of XRF analysis of the bovine and human HA are presented in table-4. Also, the chemical composition of this material in oxide form is shown in Table-5. As seen, calcium and phosphorous are the main components. Also, magnesium and sodium as minor elements and some traces of iron, potassium and zinc are also present. As seen in Table-6, the concentrations of CaO and P2O5 are 56.0wt. % and 41.6 wt. % in bHA and 57.2 wt. % and 40.4 wt. % in hHA respectively. The elemental chemical analysis of natural hydroxyapatite extracted from bovine corticle bone ash has also been reported by Bahrololoom et al. and their investigation resulted in identifying numerous elements.32

Elements

Concentration (wt %)

bHA

hHA

Ca

71.6864

72.5675

P

26.0458

25.1821

Na

1.1209

1.3040

Mg

1.0313

0.8123

Fe

0.0479

0.0615

K

0.0385

0.0454

Zn

0.0291

0.0272

Table 4 Elemental composition (XRF analysis) of the HA from bovine bone (bHA) and human bone (hHA), heat treated at 950 °C

This multitude of elements is not surprising to the well accepted since ion exchange can take place in the apatite component of bone. The ionic components of hydroxyapatite, i.e. Ca2+, OH- and PO43-can readily be exchanged by other ions. It is obvious that the composition of the trace elements varies considerably in bone depending on some biological factors such as breeding, nutrition etc (Table 5).22

Elements

Concentration (wt%)

bHA

hHA

CaO

55.9647

57.1773

P2O5

41.5762

40.4299

MgO

1.2572

0.9925

Na2O

1.1261

1.3136

Fe2O3

0.0313

0.0407

K2O

0.0280

0.0260

ZnO

0.0165

0.0200

Table 5 Composition of the HA from bovine bone (bHA) and human bone (hHA), heat treated at 950°C, in oxide form

The chemical compositions of natural hydroxyapatite extracted from bovine bone ash were compared with each other in the study of Bahrololoom et al.32 They found that the calcium, phosphorus and magnesium contents of natural hydroxyapatite extracted from bovine bone were CaO : 53.7 wt.%, P2O5 : 42.7 wt.%, MgO : 1.77 wt.%  and Na2O: 1.71 wt.%. It can be seen that the results of Table 2 are in good agreement with these results. The concentration of magnesium and sodium determined by XRF analysis of the study made here was found difference, might be due to the type of bovine bone which was used here as the starting material for producing HA. The bovine bones were purchased from the local slaughter house and there was no information about the breed and exact age of the cattle from which the bones were supplied. Breed and age of the animal can be influential parameters determining the composition of the hydroxyapatite in their calcified tissues. There is also a discrepancy of magnesium content in two different types of bone (human and bovine) due to mineral contents are different in human and animal.

SEM analysis

The surface morphology and crystal size of the extracted HA were determined under SEM analysis. The Scanning electron microscopy (SEM) micrograph of the samples obtained from bovine bone and human at 650-1250°C is shown in Figure-04. After annealing of bovine and human bone at 950°C, the particle sizes of HA were 195.5-339.8 nm and 304.80-525.21 nm sequentially. The average particle size of HA in bHA and hHA were 255.28 ±63 nm and 381.26±71.01nm respectively. When the samples were sintered at 1050°C and 1250°C, the particle sizes of bHA were 315.2-379.9 nm and 234.9 nm- 2.084 µm in diameter, respectively. On the other hand, at the high temperature the particle of hHA were not measured due to the conjugated each other. SEM micrograph of the powder shows that, the particles had irregular shapes, including small spheres, agglomerated together in some parts. It is may be happened due to the inter link up of HA particle each another (Figure 4).

Figure 4 SEM Image of bovine bone and human bone sintered at (a) 650°C (b) 950°C (c) 1050°C (d) 1250°C.

Accordingly, the morphology of the HA produced from bovine and human bone in the present study also might be influenced by age and nutrition of that particular animal from which the bone for this study was obtained. For the production of HA among the bones of different animals (chicken, pig, sheep and bovine), bovine bone had yielded the highest amount of HA, after burning was chosen as the best starting natural source to get HA. Unfortunately, there was no control on the age and nutrition of the bovine from which the bone was obtained. Thus, further study is necessary to find out at the influence of these biological factors on the morphology of HA.

Effect of Radiation on HA derived from bovine and human bone

To see the effect of radiation in the extracted HA from bovine and human bone, HA were radiated at 25 kGy and analyzed it. The result was revealed that there were not any significant changed between initial and irradiated samples. The XRD and FTIR results of samples are illustrated below.

XRD analysis: Figure 5 shows the XRD patterns of the HA extracted from bovine and human bone and radiated at 25 kGy. From the figure it has been shown that there are not any significant differences between the radiated and irradiated HA. Though, there is some alteration of their value, but is not represent any phase change of calcium apatite from HA.

Figure 5 XRD results of without radiated and irradiated bovine and human bone derived HA - (a) bHA & bHA/R and (b) hHA & hHA/R.

It represents the different prominent XRD peak position and d-spacing which corresponds to the plane (211), (3 0 0), (1 1 2), (2 1 3), (2 2 2) and (2 0 2) of non-radiated and radiated HA (bHA and hHA) and also compared with the standard HA (“Xpert Highscore” File No. 01-086-0740) results. The values of sample are almost same as standard HA value (Supplementary Tables 2 & 3).

FTIR analysis: Table 6 shows that, a large number of bands in the spectra (474, 571, 604, 1051, 1411,1464, 1632, 2930, 3460, 3780 cm-1) of radiated bovine HA (bHA/R) and the spectra (474, 571, 604, 1051, 1411, 1462, 1636, 2860, 2928, 3458, 3780 cm-1) of irradiated human HA (hHA/R) are nearly similar to commercial HA (cHA). It is also illustrated that, there are not any significant changed within the different groups of HA, before and after radiation (Figure 6).

Figure 6 FTIR results of radiated and without irradiated bovine (bHA & bHA/R) and human bone (hHA & hHA/R) derived HA.

So radiation will be a good sterilization process of HA to use it maxillofacial filler and other biomedical application (Table 6).

Name of the chemical group

Absorption band frequency (cm–1)

cHA

bHA/R

hHA/R

PO4 3- band V1

471

474

474

PO4 3-band V3

1059

1051

1051

PO4 3- band V4

573, 604

571, 604

571, 604

CO32-

 

1464, 1411

1462,1414

Absorbed H2O

1634, 2855, 2924

1632, 2930

1636,2860,2928

OH structural

3453, 3782

3460, 3780

3458,3780

Table 6 Peaks of infrared spectra assigned to commercial HA (cHA) and irradiated HA derived from Bovine bone (bHA/R) and Human bone (hHA/R)

In vitro cytotoxicity test

Brine Shrimp Lethality Bioassay method was used for cytotoxic effect of the radiated bHA and hHA powder. Powder was dispersed in artificial sea water in which nauplii were inoculated. The number of death of nauplii was not found to change the concentration of the HA powder (Table 7). So, the result found in present study suggesting that there are not any cytotoxic effect of the extracted HA from bovine and human bone.

Sample No.

Sample name

Dose (mg/mL)

No. of Nauplii present after incubation

Mortality (%)

1

Positive control (vincristine sulfate)

0.5

0

100

2

Negative control (artificial sea water)

-

10

0

3

 

bHA

0.25

10

0

4

0.50

10

0

5

0.75

10

0

6

 

hHA

0.25

10

0

7

0.50

10

0

8

0.75

10

0

Table 7 In-vitro cytotoxicity effect of bovine bone derived HA (bHA) and human bone derived HA (hHA)

Conclusion

Hydroxyapatite is the most prominent inorganic material for bone tissue engineering application as a filler material in osseous and maxillofacial defect. This study showed that the thermal decomposition with high temperature was effective for preparation of natural HA from bovine and human bones. Based on the result of this study, it is revealed that there was no significant difference between bovine and human bone derived HA. Moreover, radiation do not induce any change in the crystallographic properties of the HA.

Though there is no significant difference in chemical properties of HA derived from bovine and human sources, but there may be different in osteoconductive and osteoinductive properties. To determine biological properties (cell adhesion, osteoconductive, osteoinductive), radiation sterilized HA is now being used as filler material for maxillofacial defect in rabbit model. If the results of ongoing tests are hopeful, this extracted HA will be a very good material for maxillofacial filler.

Acknowledgments

The authors would like to thank the International Atomic Energy Agency (IAEA) for their support to carry out this work as a part of Coordinated Research Project.

Conflicts of interest

The authors declare that there is no conflict of interest regarding the publication of this paper.

Funding

None.

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