Radiation Safety

Author(s):  
Erin M. Maddy ◽  
Kevin Abnet ◽  
Geoffrey Scriver ◽  
Mrinal Shukla

Exposure to ionizing radiation is increasing in modern anesthesia practice, due to both the number of procedures facilitated and the expanding role of imaging in surgical practice. International Commission on Radiological Protection (ICRP) recommends that physicians who assist with radiation procedures be educated on the basics of radiation including units, effects of radiation exposure, and radiation protection for both providers and patients. This chapter will mirror the recommendations of the ICRP and include an introduction to radiation production, terminology, units, effects on the human body, dose limits, best practices for radiation protection, and safety infrastructure.

2021 ◽  
Vol 66 (6) ◽  
pp. 102-110
Author(s):  
A. Molokanov ◽  
B. Kukhta ◽  
E. Maksimova

Purpose: Harmonization and improvement of the system for regulating the internal radiation exposure of workers and the basic requirements for ensuring radiation safety with international requirements and recommendations. Material and methods: Issues related to the development of approaches to regulation and monitoring of workers for internal radiation exposure in the process of evolution of the ICRP recommendations and the national radiation safety standards, are considered. The subject of analysis is the standardized values: dose limits for workers and permissible levels as well as directly related methods of monitoring of workers for internal radiation exposure, whose purpose is to determine the degree of compliance with the principles of radiation safety and regulatory requirements, including non-exceeding the basic dose limits and permissible levels. The permissible levels of inhalation intake of insoluble compounds (dioxide) of plutonium-239 are considered as a numerical example. Results: Based on the analysis of approaches to the regulation and monitoring of workers for internal radiation exposure for the period from 1959 to 2019, it is shown that a qualitative change in the approach occurred in the 1990s. It was due to a decrease in the number of standardized values by introducing a single dose limit for all types of exposure: the effective dose E, which takes into account the different sensitivity of organs and tissues for stochastic radiation effects (WT), using the previously accepted concepts of the equivalent dose H and groups of critical organs. From the analysis it follows that the committed effective dose is a linear transformation of the intake, linking these two quantities by the dose coefficient, which does not depend on the time during which the intake occurred, and reflects certain exposure conditions of the radionuclide intake (intake routes, parameters of aerosols and type of radionuclide compounds). It was also shown that the reference value of the function z(t) linking the measured value of activity in an organ (tissue) or in excretion products with the committed effective dose for a reference person, which is introduced for the first time in the publications of the ICRP OIR 2015-2019, makes it possible to standardize the method of measuring the normalized value of the effective dose. Based on the comparison of the predicted values of the lung and daily urine excretion activities following constant chronic inhalation intake of insoluble plutonium compounds at a rate equal annual limit of intake (ALI) during the period of occupational activity 50 years it was shown that the modern biokinetic models give a slightly lower level (on average 2 times) of the lungs exposure compared to the models of the previous generation and a proportionally lower level (on average 1.4 times) of plutonium urine excretion for the standard type of insoluble plutonium compounds S. However, for the specially defined insoluble plutonium compound, PuO2, the level of plutonium urine excretion differs significantly downward (on average 11.5 times) compared to the models of the previous generation. Conclusion: With the practical implementation of new ICRP OIR models, in particular for PuO2 compounds, additional studies should be carried out on the behavior of insoluble industrial plutonium compounds in the human body. Besides, additional possibilities should be used to determine the intake of plutonium by measuring in the human body the radionuclide Am-241, which is the Pu-241 daughter. To determine the plutonium urine excretion, the most sensitive measurement techniques should be used, having a decision threshold about fractions of mBq in a daily urine for S-type compounds and an order of magnitude lower for PuO2 compounds. This may require the development and implementation in monitoring practice the plutonium-DTPA Biokinetic Model.


2015 ◽  
Author(s):  
Amy B. Reed ◽  
Melissa L Kirkwood

Modern vascular surgeons perform an ever-increasing number of complex endovascular procedures, largely based on patient preference, decreased length of stay, and improved outcome. With the upsurge of endovascular cases, concern has grown regarding the harmful effects of radiation exposure delivered to the patient and the operator. Surgeon education on the appropriate use of fluoroscopic operating factors coupled with appropriate training in radiation safety has been shown to decrease radiation dose. This review elucidates dose terminology and metrics, possible radiation-induced injuries, risk factors for deterministic injury, and radiation safety principles and techniques. Tables provide practical tips to lower patient and operator radiation dose during fluoroscopically guided intervention, and National Council on Radiation Protection & Measurements recommended dose limits for occupational exposure. Figures illustrate reference air kerma, radiation-induced skin injury, effects of image receptor and table position, and operator exposure. This review contains 4 figures, 3 tables, and 53 references.


2012 ◽  
Vol 41 (3-4) ◽  
pp. 305-312
Author(s):  
K.R. Kase

The International Radiation Protection Association (IRPA) has a membership of approximately 17,000 individuals who are members of 48 national societies in 60 countries worldwide. As such, IRPA's vision is to be recognised as the international voice of the radiation protection professional. This article will discuss elements of the outcome of the 12th International Congress of IRPA (‘Focus on the future’), objectives and current activities of IRPA, criteria and priorities for the engagement of IRPA with international organisations, current IRPA initiatives in the areas of radiation protection culture and certification/qualification of radiation protection experts, planning for the 13th International Congress of IRPA, comments on the implementation of recent recommendations of the International Commission on Radiological Protection (ICRP), and suggestions about IRPA and ICRP collaboration in their implementation. IRPA recognises that ICRP is the international body to determine policy and to make recommendations for protection against ionising radiation, and IRPA is in a position to participate in and facilitate the implementation of those recommendations.


2012 ◽  
Vol 41 (3-4) ◽  
pp. 117-123 ◽  
Author(s):  
H-G. Menzel ◽  
J. Harrison

Modern radiation protection is based on the principles of justification, limitation, and optimisation. Assessment of radiation risks for individuals or groups of individuals is, however, not a primary objective of radiological protection. The implementation of the principles of limitation and optimisation requires an appropriate quantification of radiation exposure. The International Commission on Radiological Protection (ICRP) has introduced effective dose as the principal radiological protection quantity to be used for setting and controlling dose limits for stochastic effects in the regulatory context, and for the practical implementation of the optimisation principle. Effective dose is the tissue weighted sum of radiation weighted organ and tissue doses of a reference person from exposure to external irradiations and internal emitters. The specific normalised values of tissue weighting factors are defined by ICRP for individual tissues, and used as an approximate age- and sex-averaged representation of the relative contribution of each tissue to the radiation detriment of stochastic effects from whole-body low-linear energy transfer irradiations. The rounded values of tissue and radiation weighting factors are chosen by ICRP on the basis of available scientific data from radiation epidemiology and radiation biology, and they are therefore subject to adjustment as new scientific information becomes available. Effective dose is a single, risk-related dosimetric quantity, used prospectively for planning and optimisation purposes, and retrospectively for demonstrating compliance with dose limits and constraints. In practical radiation protection, it has proven to be extremely useful.


2012 ◽  
Vol 41 (3-4) ◽  
pp. 313-317
Author(s):  
D.A. Cool

The Nuclear Regulatory Commission (NRC) is continuing the process of engaging stakeholders on issues associated with possible changes to the radiation protection regulations contained in 10 CFR Part 20, and other parts of the NRC regulations, to increase alignment with international recommendations. The Commission is particularly seeking to explore implications, as appropriate and where scientifically justified, of greater alignment with the 2007 Recommendations of the International Commission for Radiological Protection. Other information from national and international sources is also being considered. Given that the NRC regulations provide adequate protection, the discussion has been focusing on discerning the benefits and burdens associated with revising the radiation protection regulatory framework. NRC, through three Federal Register Notices, has officially solicited comments on a series of key issues, and has conducted a series of facilitated workshops to encourage feedback from a wide range of stakeholders. The issues include the use of updated scientific methodologies and terminology, the occupational dose limits, and the use of the concepts of constraints in optimisation. NRC staff provided a policy paper with recommendations to the Commission on April 25, 2012 (NRC, 2012).


2019 ◽  
Vol 12 (2(св)) ◽  
pp. 9-19
Author(s):  
G. G. Onischenko ◽  
I. A. Zvonova ◽  
M. I. Balonov ◽  
V. P. Ramzaev ◽  
V. S. Repin

The article describes the main areas of scientific and administrative activities of professor P.V. Ramzaev during his work in the Research Institute of Radiation Hygiene. In particular, the results of a study of global radioactive fallout in the Far North of the USSR, as well as a study of the radiation situation and an assessment of the doses to the public after the accident at the Chernobyl NPP, are presented in a systematic way. The leading role of P.V. Ramzaev in the development of hygienic regulation and in the development of the theory of health is shown. The activities of P.V. Ramzaev in the International Commission on Radiological Protection are discussed in detail. The role of P.V. Ramzaev in the development of the law «On Radiation Safety of the Population» is shown.


2020 ◽  
Author(s):  
Ritva Bly

Abstract Purpose: New radiotherapies in nuclear medicine have been introduced in Europe during recent years. Moreover, radiation safety of therapeutic nuclear medicine should be in line with the latest European Council Directive on Basic Safety Standards (BSSD) (2013/59/Euratom). The purpose of this study was to acquire up-to-date information on nuclear medicine treatments in Europe and on the implementation of the requirements of the BSSD in HERCA (Heads of the European Radiological protection Competent Authorities) member states. Methods: An electronic questionnaire was distributed to competent authorities of 32 HERCA member states. The questionnaire addressed 33 explicitly considered treatments including 13 different radionuclides, and for each treatment, a similar set of questions was included. Questions covered the use of treatments, hospitalization of patients and waste management related to therapeutic nuclear medicine involving other radionuclides than 131 I, justification of treatments, individual treatment planning, involvement of a medical physics expert (MPE) and radiation protection instructions related to release of the patient.Results: Responses were obtained from 20 HERCA countries. All countries used 131 I-NaI for benign thyroid diseases and thyroid ablation of adults. 223 RaCl2 (Xofigo®) for bone metastases, 177 Lusomatostatin analogues for neuroendocrine tumors and 177 Lu-PSMA for castration resistant prostate cancer (PC) and PC-metastases were used in 90%, 65% and 55% of countries respectively. Only a few countries had treatment specific criteria for hospitalization and waste management for new treatments. Requirements for justification of new therapies were in place in almost all countries. Individual treatment planning was required for all therapies in 55% and for some therapies in 28% of the responding countries. Implementation of the requirement for MPEs to be closely involved in nuclear medicine practices varied to a great extend among countries. Almost all countries answered that some radiation protection instructions existed for patients released after other than 131 I treatment, however in a very few countries had specific guidelines been developed.Conclusions: There is a wide variation in therapeutic use of nuclear medicine across Europe, but there is an increasing tendency towards these types of treatments. Furthermore, the implementation of the BSSD on the involvement of MPEs and individual treatment planning including dosimetry differs from country to country. Requirements on justification are in place.


2021 ◽  
pp. 331-353
Author(s):  
Łukasz Młynarkiewicz

The subject of this study is the analysis of three selected fundamental principles of nuclear safety and radiation protection based upon the Polish and international nuclear law. In this article, the author characterises the substantive content, the normative meaning, as well as the legal basis of the legal measures implementing: the principle of prime responsibility for safety, the principle of role of government in the context of nuclear framework for safety, and lastly, the principle of leadership and management for safety. The interpretation and conceptual meaning of presented principles refer to the Fundamental Safety Principles, adopted by the International Atomic Energy Agency. On the basis of co-operation and voluntary harmonisation, the IAEA has formulated ten safety principles in order to achieve a fundamental safety objective, which is the protection of people and the environment from harmful effects of ionising radiation. Moreover, the national strategy and policy for the development of nuclear safety and radiological protection, as referred to in Article 39p of the Act of 29 November 2000 on Atomic Law1, requires, inter alia, the establishment of the principles of nuclear safety and radiation protection. Consequently, the relation between the Fundamental Safety Principles and the aforementioned strategy, as well as the importance of the principles observed in processes of establishing and applying provisions of Polish nuclear law are also analysed in this study.


2018 ◽  
Vol 47 (3-4) ◽  
pp. 327-341 ◽  
Author(s):  
C. Adam-Guillermin ◽  
T. Hertal-Aas ◽  
D. Oughton ◽  
L. Blanchard ◽  
F. Alonzo ◽  
...  

The ALLIANCE working group on effects of ionising radiation on wildlife brings together European researchers to work on the topics of radiosensitivity and transgenerational effects in non-human biota. Differences in radiation sensitivity across species and phyla are poorly understood, but have important implications for understanding the overall effects of radiation and for radiation protection; for example, sensitive species may require special attention in monitoring and radiation protection, and differences in sensitivity between species also lead to overall effects at higher levels (community, ecosystem), since interactions between species can be altered. Hence, understanding the mechanisms of interspecies radiation sensitivity differences may help to clarify mechanisms underpinning intraspecies variation. Differences in sensitivity may only be revealed when organisms are exposed to ionising radiation over several generations. This issue of potential long-term or hereditary effects for both humans and wildlife exposed to low doses of ionising radiation is a major concern. Animal and plant studies suggest that gamma irradiation can lead to observable effects in the F1 generation that are not attributable to inheritance of a rare stable DNA mutation. Several studies have provided evidence of an increase in genomic instability detected in germ or somatic cells of F1 organisms from exposed F0 organisms. This can lead to induced radiosensitivity, and can result in phenotypic effects or lead to reproductive effects and teratogenesis. In particular, studies have been conducted to understand the possible role of epigenetic modifications, such as DNA methylation, histone modifications, or expression of non-coding RNAs in radiosensitivity, as well as in adaptation effects. As such, research using biological models in which the relative contribution of genetic and epigenetic processes can be elucidated is highly valuable.


2017 ◽  
Vol 3 (3) ◽  
Author(s):  
Jean Koch

In Israel, a single regulatory body for radiation protection does not exist. Instead, its responsibilities and functions are shared between five government ministries and agencies. Accordingly, the existing legal framework for radiation safety is of a very heterogeneous nature. It is made of laws, acts, orders, and regulations enacted during different periods, according to different principles. Moreover, some of the provisions of those legal instruments are obsolete or quote obsolete documents. The Standard for Radiation Protection (SRP) of the Israel Atomic Energy Commission (IAEC) was recently updated on the basis of the latest version of the International Atomic Energy Agency (IAEA) International Basic Safety Standards (BSS). It is proposed that the SRP of the IAEC serves as a model for a comprehensive framework law that would be structured in a similar manner, i.e., a division into three parts according to the three different types of exposure situation (planned, emergency, existing) defined by the International Commission on Radiological Protection (ICRP) and a subdivision of each part according to relevant exposure categories (occupational, public, medical). The adoption of such a structure would ensure that no aspect of radiation protection is left untreated.


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