Interventional radiology (fluoroscopically-guided) techniques are being used by an increasing number of clinicians not adequately trained in radiation safety or radiobiology. Many of these interventionists are not aware of the potential for injury from these procedures or the simple methods for decreasing their incidence. Many patients are not being counselled on the radiation risks, nor followed up when radiation doses from difficult procedures may lead to injury. Some patients are suffering radiation-induced skin injuries and younger patients may face an increased risk of future cancer....

This publication aims to assist in the prevention of accidental exposures involving patients undergoing treatment from external beam or solid brachytherapy sources. It does not directly deal with therapy involving unsealed sources. The document is addressed to a diverse audience of professionals directly involved in radiotherapy procedures, hospital administrators, and health and regulatory authorities. The approach adopted is to describe illustrative severe accidents, discuss the causes of these events and contributory factors, summarise the sometimes devastating consequences of these...

Computed tomography (CT) examinations can involve relatively high doses to patients. The doses can often approach or exceed levels known with certainty to increase the probability of cancer. The frequency of CT examinations is increasing worldwide and the variety of examinations is also increasing. However, in contrast to the common trend in diagnostic radiology, the rapid developments in CT have not led in general to a reduction of patient doses per examination. Therefore, management of patient dose is crucial. Proper justification of examinations, use of the appropriate technical parameters...

In its Publications 56, 67, 69, 71, and 72, ICRP has provided age-specific biokinetic models and, using those models, compiled dose coefficients (doses per unit intake) for intakes of radionuclides by members of the public. Committed effective doses for the inhalation or ingestion of radionuclides by workers who are occupationally exposed were given in Publication 68 based on the most recent dosimetric and biokinetic models for adults.

The present report complements that series by addressing doses to the embryo/fetus after intakes of radionuclides by a female member of the public...

In its 1990 recommendations, the ICRP considered the radiation risks after exposure during prenatal development. This report is a critical review of new experimental animal data on biological effects and evaluations of human studies after prenatal radiation published since the 1990 recommendations. Thus, the report discusses the effects after radiation exposure during pre-implantation, organogenesis, and fetogenesis. The aetiology of long-term effects on brain development is discussed, as well as evidence from studies in man on the effects of in-utero radiation exposure on neurological and...

This report presents detailed information on age- and gender-related differences in the anatomical and physiological characteristics of reference individuals. These reference values provide needed input to prospective dosimetry calculations for radiation protection purposes for both workers and members of the general public. The purpose of this report is to consolidate and unify in one publication, important new information on reference anatomical and physiological values that has become available since Publication 23 was published by the ICRP in 1975. There are two aspects of this work. The...

The proposed framework is designed to harmonise with the ICRP's approach to the protection of human beings, but does not intend to set regulatory standards. Instead, the proposed framework is intended to be a practical tool to provide high-level advice and guidance for regulators and operators. An agreed set of quantities and units, a set of reference dose models, reference dose-per-unit-intake (or unit exposure), and reference fauna and flora are required to serve as a basis for the more fundamental understanding and interpretation of the relationships between exposure and dose and between...

The effect of ionising radiation is influenced by the dose, the dose rate, and the quality of the radiation. Before 1990, dose-equivalent quantities were defined in terms of a quality factor, Q(L), that was applied to the absorbed dose at a point in order to take into account the differences in the effects of different types of radiation. In its 1990 recommendations, the ICRP introduced a modified concept. For radiological protection purposes, the absorbed dose is averaged over an organ or tissue, T, and this absorbed dose average is weighted for the radiation quality in terms of the...

Digital techniques have the potential to improve the practice of radiology but they also risk the overuse of radiation. The main advantages of digital imaging, i.e. wide dynamic range, post processing, multiple viewing options, and electronic transfer and archiving possibilities, are clear but overexposures can occur without an adverse impact on image quality. In conventional radiography, excessive exposure produces a black film. In digital systems, good images are obtained for a large range of doses. It is very easy to obtain (and delete) images with digital fluoroscopy systems, and there...

After some therapeutic nuclear medicine procedures with unsealed radionuclides, precautions may be needed to limit doses to other people, but this is rarely the case after diagnostic procedures. Iodine-131 results in the largest dose to medical staff, the public, caregivers, and relatives. Other radionuclides used in therapy are usually simple beta emitters (e.g. phosphorus-32, strontium-89, and yttrium-90) that pose much less risk. Dose limits apply to exposure of the public and medical staff from patients. Previously, the ICRP has recommended that a source-related dose constraint for...