Radiation Protection Recommendations

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Radiation Protection Recommendations ICRP Publication 103 K. F. Eckerman Oak Ridge National Laboratory Society of Nuclear Medicine June 15, 2009

International Commission on Rdil Radiological i lprotection: ti ICRP Established by the International Congresses of Radiology in 1928 Formed as International X Ray and Radium Protection Committee to address protection in medical radiology Post WW II (1950) expanded to all aspects of radiation protection and given present name Society of Nuclear Medicine International Commission June on Radiation 15, 2009 Measurements and Units (ICRU), formed in 1928, is a sister commission Issues recommendations on the principles of radiation protection Form the basis for more detailed regulations and guidance issued by national authorities recommendations and advice of ICRP are published on a regular basis, and made available as the Annals of the ICRP Recommendation andadvice advice published in Annals oftheicrp (Elsevier Science)

Structure of the ICRP Main Commission (12 members and a chairman) Committee 1. Radiation Effects Committee 2. Doses from Radiation Exposures Committee 3. Protection in Medicine Committee 4. Application of ICRP Recommendations Committee 5. Protection of the Environment Membership Committee members (15 20) appointed by Main Commission Members serve as individuals, not representatives of their country Committee work carried out in Task Groups and Working Parties Commission is a registered charity in UK 3

ICRP Recommendations Radiation Protection Recommendations Objective: provide appropriate standard of protection without unduly limiting beneficial practices that giving rise to radiation exposure 1959 ICRP Publication 1 1977 ICRP Publication 26 1991 ICRP Publication 60 2007 ICRP Publication 103 US regulations based on Publication 26 or earlier

Radiation Protection Guidance Scope of Guidance Prospective Applications Provide scientific basis for regulatory system Stochastic health effects prime driver Etblih Establish good practice guidelines (planning) Retrospective Applications Evaluation of actual exposures Unplanned exposures or radionuclide intakes Stochastic and deterministic health effects of concern Exposure categories Occupational Exposure Public exposure Medical exposure (dose limits not applicable to patients)

Biological Considerations Adverse Health effects Deterministic effects: Effect occurs at doses in excess of a threshold Stochastic effects: cancer and heritable effects; probability of occurrence a function of dose LNT assumption (linear no threshold model) Nominal risk coefficients

ICRP 103 Dose Limits Three principles of radiation protection: justification, limitation, optimization Recommended annual dose limits: Effective dose: 20 msv (2 rem) over 5 years, no year in excess of 50 msv (5 rem) Tissue equivalent dose Lens of eye: 150 msv (15 rem) Skin and hands/feet: 500 msv (50 rem) Declared pregnant woman (fetus): 1 msv (0.1 rem) Dose limits unchanged from ICRP 60

Evolution not Revolution In the 2007 ICRP recommendations some things remain because they work explained because guidance needed added because of a void differ because knowledge evolved It may not be necessary to change regulations in those countries that have adopted Publication 60. L E Holm 2005. However the US has not updated its regulations beyond the 1975 ICRP recommendations of ICRP Publication 26. 8

Dosimetric Quantities Absorbed Dose (D). Physical quantity imparted energy per unit mass (1 Gy = 1 J/kg). Equivalent Dose (H T ). Protection quantity, product of the absorbed dose (D R,T ) due to radiation R in tissue T and radiation weighting factor (w R ). That is, H T = Σ D R,T w R. Effective Dose (E). Protection quantity, sum of the products of equivalent dose (H T ) and tissue weighting factor (w T ). That is, E = Σ H T w T.

Radiation Weighting gfactor

Tissue Weighting Factors, w T

Dosimetric Quantities ICRP Protection Quantities Effective dose Equivalent dose in tissues Non measurable quantities ICRU Operational Quantities Measurable quantities ii of external radiation i fields that adequately represent the protection quantities Personal dose equivalent Hp(10) Ambient dose equivalent H*(10)

Calculation of Effective Dose

Committee 2 Ongoing gtasks Update dosimetric models and data Publication 107 updates nuclear decay data Publication 108 (in press) on Reference Male/Female Phantoms Specific absorbed fractions calculations Respiratory tract model updated (Publication 66 updates) Revision of Publication 74 on external radiation Update/expansion of information on systemic biokinetics Task Groups Task Group on Dose Calculations (DOCAL) Task Group on Internal Dosimetry (INDOS) Working Parties Alpha epidemiology (w C1) Publication 74, revised (joint w ICRU) Space Radiation (ICRP report) Use of Effective Dose (C2, C3, C4)

Possible Issues In US Adoption Change in occupational annual dose limit Impact of change from 50 to 20 msv Gender considerations Is female worker adequately protected? ICRP s schedule of supportive documents 2011 Occupational Intakes of Radionuclides, Part 1 2012 Public Exposures to Radionuclides 2014 Occupational Intakes of Radionuclides, Part 2/3 Need coordinated action of Federal agencies