Total Collective Dose Research Articles

Current status of radiological protection at nuclear power stations in Japan

The radiation dose to workers at nuclear power stations (NPSs) in Japan was drastically reduced between the late-1970s and the early-1990s by continuous dose-reduction programmes. The total collective dose of radiation workers in FY 2008 was 84.04 person Sv, while the average collective dose was 1.5 person Sv per reactor. The average annual individual dose was 1.1 mSv and the maximum annual individual dose was 19.5 mSv. These values are sufficiently lower than the regulatory dose limits. Radioactive effluent released from NPSs is already so trivial that additional protective measures will not be necessary. Experience in radiation protection at NPSs has been accumulated over 40 y and will be very useful in establishing a rational radiation control system in the future.

Population dose from medical diagnostic exposure in Taiwan

Medical exposure showed a continuous increasing trend. This trend was due to the growth of diagnostic procedures such as computed tomography (CT) and interventional fluoroscopy (IVF). In the present work, results of a recent study on medical exposure in Taiwan are reported. This study analysed data from the National Health Insurance Research Database. Surveyed data on the dose indices, including the entrance surface dose in radiography, dose area product in fluoroscopy, CT dose index in CT and mean glandular dose in mammography, were applied. Using programmes and databases, dose indices were converted to the effective dose. For the year 2008, individual effective doses in Taiwan were estimated as 0.16, 0.37, 0.12 and 0.12 mSv for conventional radiography and fluoroscopy, CT, IVF and nuclear medicine, respectively. The total collective effective dose and the effective dose per individual for medical exposure were 17 788 person-Sv and 0.77 mSv, respectively.

Implementation of dose management system at radiation protection board of Ghana Atomic Energy Commission

The dose management system (DMS) is a computer software developed by the International Atomic Energy Agency for managing data on occupational exposure to radiation sources and intake of radionuclides. It is an integrated system for the user-friendly storage, processing and control of all existing internal and external dosimetry data. The Radiation Protection Board (RPB) of the Ghana Atomic Energy Commission has installed, customised, tested and using the DMS as a comprehensive DMS to improve personnel and area monitoring in the country. Personnel dose records from the RPBs database from 2000 to 2009 are grouped into medical, industrial and education/research sectors. The medical sector dominated the list of monitored institutions in the country over the 10-y period representing ∼87 %, while the industrial and education/research sectors represent ∼9 and ∼4 %, respectively. The number of monitored personnel in the same period follows a similar trend with medical, industrial and education/research sectors representing ∼74, ∼17 and ∼9 %, respectively. Analysis of dose data for 2009 showed that there was no instance of a dose above the annual dose limit of 20 mSv, however, 2.7 % of the exposed workers received individual annual doses >1 mSv. The highest recorded individual annual dose and total collective dose in all sectors were 4.73 mSv and 159.84 man Sv, respectively. Workers in the medical sector received higher individual doses than in the other two sectors, and average dose per exposed worker in all sectors is 0.25 mSv.

Occupational radiation exposure during removal of radioactive reactor components from GRR-1 pool

The aim of the study was to control occupational exposure during the removal of radioactive reactor components from a Greek research reactor pool. The method comprised the prediction of the radiation levels, the design of special shielding structures and the occupational dose assessment. Activation calculations were performed using the FISPACT code to predict the source term. Monte Carlo simulations using MCNP code were utilized to estimate the ambient dose equivalent rates. The results of the calculations were verified by measurements and were found to be in good agreement. Thermoluminescence dosemeter (TLD) and electronic personal dosemeter (EPD) were implemented to measure the radiation exposure of the workers. The total collective dose of 14 participating workers was 0.15 man mSv. The maximum individual effective dose was 0.02 mSv, and the maximum extremity equivalent dose was 0.09 mSv. The discussed method provides a useful tool enabling work planning during reactor decommissioning and renovation activities ensuring that exposures will be maintained ALARA.

Valuing Health Effects of Natural Radionuclides Releases from Yatagan Power Plant

The objective of this paper is the valuation of radiological health effects of Yatagan Power Plant. To this aim the radiation dose calculations are carried out for the population living within 80 km radius of the plant. The average of the maximum measured specific isotopes 238U, 232Th and 226Ra in the flying ash samples are considered as radioactive sources. Based on the dose calculations, first the stochastic health effects and then monetary health effects are estimated. The estimated total collective dose and economic value of the pre-dicted health effects are 0.3098 man Sv/y and 14791 US$/y respectively. The results obtained from the dose calculations are lower than the limits of International Commission of Radiation Protection (ICRP) and it does not pose any risk for public health. Monetary value of health risks is also negligible in comparison to the av-erage yearly sales revenue of the plant which is 250 million US$.

Distribution of uranium in drinking water and associated age-dependent radiation dose in India

Exposure due to natural radiation is of particular importance because it accounts for the largest contribution (nearly 85 %) to the total collective dose of the world population. An attempt has been made to present the feasibility of uranium occurrence in drinking water samples from different states of India, by laser-induced fluorimetry. The associated age-dependent radiation dose was estimated by taking the prescribed water intake values of different age groups. The concentration of uranium obtained, i.e. 0.1 +/- 0.01 to 19.6 +/- 1.8 microg l(-1), is well below the drinking water guideline value of 30 microg l(-1). The annual ingestion dose due to uranium in drinking water for various age groups is found to vary from 0.14 to 48 microSv y(-1).

Tomografía computarizada multicorte en un servicio de radiodiagnóstico: estudio de las dosis impartidas durante 1 año

Objective To determine the usage of CT in our diagnostic imaging department and the dose of radiation CT delivered to patients. Material and methods We carried out two studies, a retrospective study on the administrative data from one year and a prospective study over one month, to determine the amount of activity of the two multislice CT scanners in our department. We recorded the total number of examinations, the different types of examination performed, and the age distributions of the patients examined. We used these data and the results of dosimetric measurements to estimate the typical radiation dose for each type of examination, its contribution to the collective radiation dose, and the total collective radiation dose from CT examinations at our hospital. Results The retrospective study found that 15038 examinations were performed in 12678 patients in one year. The most common CT examinations were cranial (38.2%), abdomen-pelvis (17.5%), chest-abdomen (11.7%), chest (9.3%), and lumbar-sacral spine (6.8%). Some protocols used doses of radiation that were higher than those recommended by European experts. The total collective dose of radiation delivered to patients at our hospital by CT was estimated at 70 person.Sv. Abdomen-pelvis examinations contributed 31% of the total dose. Conclusions This study has provided detailed knowledge about the use of CT in our diagnostic imaging department, about the dose of radiation delivered, and about possibilities for improving the use of our CT scanners.

MEDICAL RADIATION EXPOSURE IN THE U.S. IN 2006: PRELIMINARY RESULTS

Medical radiation exposure of the U.S. population has not been systematically evaluated for almost 25 y. In 1982, the per capita dose was estimated to be 0.54 mSv and the collective dose 124,000 person-Sv. The preliminary estimates of the NCRP Scientific Committee 6-2 medical subgroup are that, in 2006, the per capita dose from medical exposure (not including dental or radiotherapy) had increased almost 600% to about 3.0 mSv and the collective dose had increased over 700% to about 900,000 person-Sv. The largest contributions and increases have come primarily from CT scanning and nuclear medicine. The 62 million CT procedures accounted for 15% of the total number procedures (excluding dental) and over half of the collective dose. Nuclear medicine accounted for about 4% of all procedures but 26% of the total collective dose. Medical radiation exposure is now approximately equal to natural background radiation.

Cumulative patient effective dose in cardiology

Medical radiation from X-rays and nuclear medicine is the largest non-natural (man-made) source of radiation exposure in Western countries. The aim of this study was to assess the individual cumulative effective dose in patients admitted to our cardiology ward. We collected a cumulative radiological history from a structured questionnaire and access to hospital records in 50 consecutive adult patients (36 males; age, 66.7+/-10.8 years) admitted to the Institute of Clinical Physiology in Pisa. The cumulative effective dose was assessed as an indicator of stochastic risk of cancer. We derived the effective dose for each individual examination from the Medical Imaging Guidelines of the European Commission (2001). On average, each patient underwent a median of 36 examinations (interquartile range, 23-46). The median cumulative effective dose was 60.6 mSv. Three types of procedures were responsible for approximately 86% of the total collective effective dose: (i) arteriography and interventional cardiology (12% of examinations, 48% of average dose per patient); (ii) nuclear medicine (5% of examinations, 21% of average dose per patient); and (iii) CT (4% of examinations, 17% of average dose per patient). The median estimated extra risk of cancer was approximately 1 in 200 exposed subjects. In conclusion, the average contemporary cardiological patient is exposed to a significant cumulative effective dose from diagnostic and therapeutic interventions. It is important to log cumulative dose for each patient at the time of each examination. Every effort should be made to justify the indications and to optimize the doses.

An assessment of annual whole-body occupational radiation exposure in Ireland (1996-2005)

Whole-body occupational exposure to artificial radiation sources in Ireland for the years 1996-2005 has been reviewed. Dose data have been extracted from the database of the Radiological Protection Institute of Ireland, which contains data on >95% of monitored workers. The data have been divided into three sectors: medical, industrial and education/research. Data on exposure to radon in underground mines and show caves for the years 2001-05 are also presented. There has been a continuous increase in the number of exposed workers from 5980 in 1996 to 9892 in 2005. Over the same time period, the number of exposed workers receiving measurable doses has decreased from 676 in 1996 to 189 in 2005 and the collective dose has also decreased from 227.1 to 110.3 man millisievert (man mSv). The collective dose to workers in the medical sector has consistently declined over the 10-y period of the study while that attributable to the industrial sector has remained reasonably static. In the education/research sector, the collective dose typically represents 5% or less of the total collective dose from all practices. Over the 10 y of the study, a total of 77 914 annual dose records have been accumulated, but only 4040 (<6%) of these represent measurable radiation doses in any given year. Over the same time period, there were 283 instances in which exposed workers received individual annual doses >1 mSv and 21 of these exceeded 5 mSv. Most of the doses >1 mSv were received by individuals working in diagnostic radiology (which also includes interventional radiology) in hospitals and site industrial radiography. There has been only one instance of a dose above the annual dose limit of 20 mSv. Evaluating the data for the period 2001-05 separately, the average annual collective dose from the medical, industrial and educational/research sectors are approximately 60, 70 and 2 man mSv with the average dose per exposed worker who received a measurable dose being 0.32, 0.79 and 0.24 mSv, respectively. Diagnostic radiology and site industrial radiography each represents >60% of the collective dose in their respective sectors. Available data on radon exposure in one underground mine and in three show caves indicate an annual collective dose of 75 man mSv from these work activities. By comparison, previous estimates of exposure of Irish air crew to cosmic radiation have given rise to an estimated collective dose of 12 000 man mSv. It can be concluded therefore that the natural radioactivity sources account for well >90% of all occupational exposure in Ireland. This evaluation does not include an estimate of exposure to radon in above-ground workplaces-these data are currently being evaluated and their inclusion will increase both the total occupational collective dose as well as the percentage of that dose due to natural radiation.

EXPOSURE OF THE SWISS POPULATION BY RADIODIAGNOSTICS: 2003 REVIEW

A nationwide investigation was conducted in Switzerland to establish the exposure of the population by medical x rays and update the results of the 1998 survey. Both the frequency and the dose variations were studied in order to determine the change in the collective dose. The frequency study addressed 206 general practitioners (GPs), 30 hospitals, and 10 private radiology institutes. Except for the latter, the response rate was very satisfactory. The dose study relied on the assessment of the speed class of the screen-film combinations used by the GPs as well as the results of two separate studies dedicated to fluoroscopy and CT. The investigation showed that the total number of all medical x-ray examinations performed by GPs registered a 1% decrease between 1998 and 2003, and that the sensitivities of the film-screen combinations registered a shift towards higher values, leading to a reduction of the dose delivered by a GP of the order of 20%. The study indicated also that the total number of all x-ray examinations performed in hospitals increased by 4%, with a slight increase of radiographies by 1% but significant decrease of examinations involving fluoroscopy (39%), and a 70% increase for CT examinations. Concerning the doses, the investigation of a selection of examinations involving fluoroscopy showed a significant increase of the kerma-area product (KAP) per procedure. For CT the study showed an increase of the dose-length product (DLP) per procedure for skull and abdomen examinations, and a decrease for chest examination. Both changes in the frequency and the effective dose per examination led to a 20% increase in the total collective dose.

American College of Radiology White Paper on Radiation Dose in Medicine

The benefits of diagnostic imaging are immense and have revolutionized the practice of medicine. The increased sophistication and clinical efficacy of imaging have resulted in its dramatic growth over the past quarter century. Although data derived from the atomic bomb survivors in Japan and other events suggest that the expanding use of imaging modalities using ionizing radiation may eventually result in an increased incidence of cancer in the exposed population, this problem can likely be minimized by preventing the inappropriate use of such imaging and by optimizing studies that are performed to obtain the best image quality with the lowest radiation dose. The ACR, which has been an advocate for radiation safety since its inception in 1924, convened the ACR Blue Ribbon Panel on Radiation Dose in Medicine to address these issues. This white paper details a proposed action plan for the college derived from the deliberations of that panel.

The 15-Country Collaborative Study of Cancer Risk among Radiation Workers in the Nuclear Industry: Design, Epidemiological Methods and Descriptive Results

Radiation protection standards are based mainly on risk estimates from studies of atomic bomb survivors in Japan. The validity of extrapolations from the relatively high-dose acute exposures in this population to the low-dose, protracted or fractionated environmental and occupational exposures of primary public health concern has long been the subject of controversy. A collaborative retrospective cohort study was conducted to provide direct estimates of cancer risk after low-dose protracted exposures. The study included nearly 600,000 workers employed in 154 facilities in 15 countries. This paper describes the design, methods and results of descriptive analyses of the study. The main analyses included 407,391 nuclear industry workers employed for at least 1 year in a participating facility who were monitored individually for external radiation exposure and whose doses resulted predominantly from exposure to higher-energy photon radiation. The total duration of follow-up was 5,192,710 person-years. There were 24,158 deaths from all causes, including 6,734 deaths from cancer. The total collective dose was 7,892 Sv. The overall average cumulative recorded dose was 19.4 mSv. A strong healthy worker effect was observed in most countries. This study provides the largest body of direct evidence to date on the effects of low-dose protracted exposures to external photon radiation.

Sustainability in the cardiac cath lab

Use of radiation for medical examinations and test is the largest man-made source of radiation exposure. Interventional procedures are only 2% of all radiological procedures, but contribute to about 20% of the total collective dose per head per year. On average, a left ventriculography and coronary angiography corresponds to a radiation exposure for the patient of about 300, a coronary stent to 1,000, a peripheral artery intervention to 1,500 to 2,500, and a cardiac radiofrequency ablation to 900-1,500 chest x-rays. Invasive cardiology procedures increased tenfold in the last ten years and growth in the field has been accompanied by concern for the safety of the staff. Interventional cardiologists have an exposure per-head per year two- to three times higher than that of radiologists, with an annual exposure equivalent to around 250 chest x-rays per head. A reduction of occupational doses by a factor of ten can be achieved simply by and intensive training program. The awareness of radiation effects may be suboptimal in the medical community. It is recommended by professional guidelines and reinforced by the European law that the responsibility of all physicians is to minimize the radiation injury hazard to their patients, to their professional staff and to themselves.

Calculation of total effective dose equivalent and collective dose in the event of a LOCA in Bushehr Nuclear Power Plant

In this research, total effective dose equivalent (TEDE) and collective dose (CD) are calculated for the most adverse potential accident in Bushehr Nuclear Power Plant from the viewpoint of radionuclides release to the environment. Calculations are performed using a Gaussian diffusion model and a slightly modified version of AIREM computer code to adopt for conditions in Bushehr. The results are comparable with the final safety analysis report which used DOZAM code. Results of our calculations show no excessive dose in populated regions. Maximum TEDE is determined to be in the WSW direction. CD in the area around the nuclear power plant by a distance of 30 km (138 man Sv) is far below the accepted limits. Thyroid equivalent dose is also calculated for the WSW direction (maximum 25.6 mSv) and is below the limits at various distances from the reactor stack.

Population effective collective dose from nuclear medicine examination in Cuba

In an attempt to estimate the effective collective dose imparted to the population of Camagüey-Ciego de Avila territory, Cuba, we have made use of the statistics from nuclear medicine examinations given to a population of 1.1 million inhabitants for the years 1995-1999. The average annual frequency of examinations was estimated to be 3.82 per 1000 population. The results show that nuclear medicine techniques of thyroid imaging with 43.73% and thyroid uptake with 43.36% are the main techniques implicated in the relative contribution to the total annual effective collective dose, which averaged 54.43 man Sv for the studied period. Radiation risks for the Camagüey-Ciego de Avila population caused by nuclear medicine examinations in the period studied were calculated: the total number of fatal and non-fatal cancers was 16.33 and the number of serious hereditary disturbance was 3.54 as a result of 21,073 nuclear medicine procedures, corresponding to a total detriment of one case per thousand examinations.

A comparison of statistical methods for estimation of less than detectable ionising radiation exposures

Methods were developed to estimate the ionising radiation dose below the detection level (DL) of personal monitoring devices for a case-control study of protracted radiation exposure and lung cancer. Exposure data were grouped by dosemeter type and monitoring period. Each group contained dosimetry data that were interval-censored from limitations in measurement precision and included left-censoring of observations below detection. The grouped data were fit to a three parameter hybrid-lognormal distribution by maximum likelihood estimation. Using the fitted distribution, bootstrap samples were either simulated by Monte Carlo or constructed by sampling with replacement. The resulting bootstrap sample distributions were then used to predict the missing dose values and the associated uncertainty in the estimate. Among study subjects, 1357 workers were monitored with film dosimetry. Among the 39,263 dose observations 20,416 were recorded as zero dose, indicating 52% left-censoring. The statistical methods estimated 0.31 person-Sv below the DL or approximately 1% of the total collective dose for this study population.

Diagnostic nuclear medicine procedures in Germany between 1996 and 2002

Summary Aim: Man-made radiation exposure to the German population predominantly results from the medical use of ionizing radiation. It was therefore the aim of the present study, to provide public health information concerning diagnostic nuclear medicine procedures carried out in Germany between 1996 and 2002. Material and methods: Application frequencies for 10 groups of procedures were estimated from official reimbursement data provided by the German health insurance companies. Mean effective doses for these examinations were estimated from data provided by 14 clinics and 10 practices concerning the radiopharmaceuticals in use and the activities administered. Results: During the period 1996-2002, a total of (3.83 ± 0.31) million nuclear medicine procedures were performed in average per year, which corresponds to a mean annual application frequency of approximately 47 examinations per 1 000 inhabitants. More than 90% of the examinations were scintigraphies of the thyroid (37%), skeleton (25%), myocardium (13%), lungs (8%) and kidneys (8%). The averaged collective effective dose was (10.2 ± 1.4) ⋅103 manSv per year, which corresponds to a mean annual per caput effective dose of about (0.12 ± 0.02) mSv. Three types of procedures were responsible for about 80% of the total collective effective dose: scintigraphies of the myocardium (36%), skeleton (33%) and thyroid (10%). Averaged over all procedures carried-out, the mean effective dose per examination was (2.7 ± 0.8) mSv. Conclusion: The average effective dose per inhabitant and year caused by nuclear medicine examinations is markedly lower than that resulting from medical X-ray procedures (0.12 vs. 1.8 mSv). Reduction of patient exposure may be achieved, for example, by replacing 201Tl-labeled radiopharmaceuticals by 99mTc-labeled compounds.

UK nuclear medicine survey 2003–2004

This survey was designed to assess the trends in the frequencies of nuclear medicine procedures in the UK and to determine their contributions to the annual collective effective dose to the UK population. The average activities administered by nuclear medicine departments were compared with guidance on diagnostic reference levels issued by the Administration of Radioactive Substances Advisory Committee. The survey was carried out by e-mailing a questionnaire to every known nuclear medicine centre in the UK. The total number of procedures performed annually has increased by 36% over the last 10 years to a level of about 11 procedures per 1000 head of population in the financial year 2003-2004. Seventy-three per cent of all nuclear medicine administrations are for planar imaging, with single-photon emission computed tomography and positron emission tomography contributing 16% and 2%, respectively. Non-imaging diagnostic procedures represent 7% of all nuclear medicine administrations, and therapy 2%. Bone scans continue to be the most frequent procedure. The UK annual collective effective dose from diagnostic nuclear medicine is about 1600 man Sv, resulting in an annual per caput dose of nearly 0.03 mSv. Bone scans are the largest contributor to the collective dose, but myocardium scans are close behind. Planar imaging is responsible for 62% of the total collective effective dose from diagnostic nuclear medicine in the UK, with single-photon emission computed tomography, positron emission tomography and non-imaging contributing 33%, 5% and 0.3%, respectively. The practice of nuclear medicine is still expanding in the UK with single-photon emission computed tomography imaging of the myocardium rapidly approaching bone scans as the main contributor to population exposure. The activities administered for most procedures have remained substantially unchanged and adhere closely to those recommended by the Administration of Radioactive Substances Advisory Committee.

Priorities in optimisation of medical X-ray imaging—a contribution to the debate

A simplistic approach to optimising medical imaging is to use the lowest effective dose to the patient that does not jeopardise a correct diagnosis. With limited resources and over 1000 different types of X-ray examinations, it is not always easy to set the right priorities and to decide how to perform the optimisation. Recent research shows that the 'Rose model' for the detection of specific structures does not hold for realistic backgrounds. A reasonable conclusion regarding methods for optimisation is therefore not to use contrast-detail phantoms. Phantoms producing clinically realistic background images or real clinical images-modified with respect to quantum noise levels-are preferred. The images should be evaluated using visual grading or receiver operating characteristic methods. The quality of many common X-ray investigations, performed with projection techniques, is not limited by quantum noise. For these, the radiation dose to the patient can be lowered without seriously affecting the outcome of the detection task. For computed tomography (CT) investigations, the obscuring effect of anatomical structures and anatomical noise is less pronounced than in projection techniques. For CT, true optimisation in terms of a trade-off between radiation dose and image quality is therefore more likely to be effective. Both the number of CT examinations performed per year and the effective dose per examination are increasing owing to the technical advances in CT--jointly leading to a steady increase in the collective dose from CT examinations. Moreover, the smaller influence of the anatomical background in CT gives a high correlation between detection tasks and radiation dose. Thus, a reasonable view to take on which examinations to optimise is to give priority to CT examinations. The recommended distribution of a full working week for optimisation, based on the relative lifetime risk of lethal cancer from diagnostic X rays and the total collective dose from CT, is to use three out of five days to optimise CT examinations, of which one day should be devoted to paediatric CT.