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Internal Sources - Occupational Exposures
In occupational exposures, one needs to use a knowledge of the input and the pathway with the appropriate dose conversion factors (DCFs)
to calculate a cumulative organ dose and effective whole body dose for the exposed person(s). Often, the input is not well known, and must
be determined by bioassay measurements (in vivo counting or analysis of excreta). In nuclear medicine, generally the input term and pathway
is well known, and one may apply DCFs easily, or even more easily, simply look up dose values, derived from standardized models, to estimate
the doses. This is generally more appropriate in diagnostic applications than in therapy, where patient-specific parameters should be applied
as much as possible.
In this section of the RADAR site, we will offer some basic tools and data
that may be of use in these situations. As noted on the RADAR Services
page, RADAR members are also available for specific analyses of data, on a consultant basis, if
desired.
Dose Conversion
Factors
Dose Conversion Factors (DCFs) provided by the International Atomic Energy Agency (IAEA) in its Safety Series 115 document, are available from this
site for viewing or download. These factors give the dose per unit intake by inhalation or ingestion for a large number
of radionuclides, for adults and children of various ages. They are thus useful for calculating committed doses
for workers, who might experience intakes in the workplace, as well as individuals or populations near nuclear sites,
where intakes might occur due to offsite releases of radionuclides. You can choose any or all of the following tables (the rest, and
the accompanying textual material can be purchaed from the IAEA):
TABLE II-III. Committed Effective Dose Per Unit Intake via Inhalation and Ingestion (Sv/Bq) for Workers
TABLE II-VI. Committed Effective Dose Per Unit Intake via Ingestion (Sv/Bq) for Members of the Public
TABLE II-VII. Committed Effective Dose Per Unit Intake via Inhalation (Sv/Bq) for Members of the Public
TABLE II-IX. Committed Effective Dose Per Unit Intake via Inhalation (Sv/Bq) for Soluble or Reactive Gases and Vapours
TABLE II-X. Effective Dose Rate for Exposure to Inert Gases for Adults(a)
(That last table might belong better on the External Dose Page, but we'll leave it here, to keep all the tables together). Other such DCFs have been developed by the International
Commission on Radiological Protection (ICRP), but are not available from this site. The ICRP provides them on a CD
ROM that may be purchased (contact the ICRP for details)
Estimating the Intake - Analysis of Bioassay Data
If an estimate
of the intake can be made based on inherent knowledge of the situation
(e.g. how much activity was being handled, how much activity is missing,
air sampling or other data), perhaps one can estimate the intake easily.
However, this type of estimate usually has much uncertainty, and the use
of bioassay data from the exposed individual is preferred to provide an
estimate of intake. The analysis of bioassay data to determine intakes is
not usually a straightforward task. To determine the type and timing of
samples, one must consider (1) the route of entry, (2) the radionuclide
metabolism in the body, (3) the radionuclide emission spectrum, (4)
detection capabilities of available in vivo or in vitro analytical
techniques, and perhaps other factors. When one has one or more bioassay
measurements, one then needs a model that predicts what fraction of the
initial intake would have been in a sample of that type at that time (e.g.
a whole body count 10 days after intake, a 24 hour urine sample 2 days
after intake, etc.). Then, one divides the measured value by the
expected fraction of intake expected to get an estimate of the actual
intake. If one has multiple values, one can calculate multiple
estimates of intake, or a least squares single estimate, using the
formula:
where I is the predicted
intake, Oi is an observed value and Ei is an expected (model predicted) value. This formula is surprisingly simple, but it is
derived from a least squares analysis, and supposes that the relative
variance of the measurements is proportional to the absolute value
(Skrable et al., proc. 1994 HP Summer School, Internal Radiation
Dosimetry). One should always plot out the observed and model
predicted values to be sure that a reasonable estimate of intake - this
formula will always yield a result, but if (for example) the effective
half-time of activity in your subject was greatly different than that of
the model (from which the expected fractions were obtained), the estimate
of intake may not be reasonable.
However one gets
the best estimate of intake, one then may apply DCFs, as given above,
which are usually given as cumulative dose per unit intake, to obtain
doses.
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