ICRP: What It Does and Why Dr Jack Valentin

Similar documents
ICRP Recommendations Evolution or Revolution? John R Cooper Main Commission

Application of the Commission's Recommendations for the Protection of People in

ICRP 128 ICRP ICRP ICRP 1928

CONTROLLABLE DOSE: A discussion on the control of individual doses from single sources. Roger H Clarke

ICRP 2013: 2nd International Symposium on the System of Radiological Protection Abu Dhabi. October 2013

DRAFT FOR CONSULTATION

ICRP Symposium on the International System of Radiological Protection

2005 RECOMMENDATIONS OF ICRP

Ongoing work within ICRP in the field of medicine

IAEA Technical Meeting Amman, Jordan. Uranium Exploration and Mining Methods

Jacques LOCHARD Vice-chair of ICRP Director of CEPN France

Further there has been shift from equipment focus to patient focus. During the last 15 years QC testing of equipment and dosimetry in phantoms

For IACRS. May 13, Geneva. Christopher Clement ICRP Scientific Secretary

Vice-Chair of ICRP. First European Workshop on the Ethical Dimensions of the Radiological Protection System Milan, Italy December 2013

GUIDELINES ON IONISING RADIATION DOSE LIMITS AND ANNUAL LIMITS ON INTAKE OF RADIOACTIVE MATERIAL

Annals of the ICRP. Published on behalf of the International Commission on Radiological Protection. MD, USA (Emeritus) NM, USA (Emeritus)

Recent Progress in Radiation Dosimetry for Epidemiology and Radiological Protection. John Harrison ICRP Committee 2

International Commission on Radiological Protection. Report Years of Radiological Protection

REPORT OF THE TECHNICAL MEETING: THE NEW DOSE LIMIT FOR THE LENS OF THE EYE IMPLICATIONS AND IMPLEMENTATION VIENNA, 2-4 OCTOBER 2012

Radiological Protection Countermeasures after TEPCO Fukushima NPP Accident -Who should play the role of risk communication-

Dose Constraints and other Policy and Practical Issues in Occupational Radiation Protection

UNSCEAR Recent and Future Programme of Work. Emil Bédi

TM on the New Dose Limits for the Lens of the Eye: Implications and Implementation

ICRP RECOMMENDATIONS AND IAEA SAFETY STANDARDS: THEN AND NOW

Role and Responsibility of Medical Staff in Nuclear Accident

WORKERS IN A NUCLEAR FACILITY

EURADOS: Overview of actions and initiatives in radiation protection in medicine

DRAFT REPORT FOR CONSULTATION: DO NOT REFERENCE. Annals of the ICRP ICRP PUBLICATION 1XX

GT CIPR 4 décembre Travaux engagés par la CIPR pour la mise en œuvre de ses nouvelles recommandations

STANDARDIZED RADIOGENIC CANCER RISK COEFFICIENTS: A REVIEW OF THE METHODOLOGY PRESENTED IN FEDERAL GUIDANCE REPORT NO. 13

CANADIAN PERSPECTIVE ON EYE DOSE & INTERNATIONAL RECOMMENDATIONS PRESENTED TO: Presented To:

IAEA Safety Standards for Emergency Preparedness and Response: Focus on criteria for radionuclides in food, milk and drinking water

THE REPRESENTATIVE INDIVIDUAL

CONTENTS NOTE TO THE READER...1 LIST OF PARTICIPANTS...3

Integrated Research Application System (IRAS)

Biological Effects of Radiation KJ350.

Annex X of Technical Volume 4 RADIATION AND HEALTH EFFECTS AND INFERRING RADIATION RISKS FROM THE FUKUSHIMA DAIICHI ACCIDENT

A Simple Model for Establishing Exemption Limits

3 rd International Symposium on the System of Radiological Protection Seoul, October John Harrison

Appendix I. List of stakeholders consulted with on the Patient Radiation Protection Manual and members of the Medical Exposure Radiation Unit

Radiation Dose Specification

Review of the Radiobiological Principles of Radiation Protection

Uncertainties on internal dosimetry

Overview of ICRP Committee 3 Protection in Medicine

BACKGROUND + GENERAL COMMENTS

Ionising Radiation Policy

Radiation Protection in Laboratory work. Mats Isaksson, prof. Department of radiation physics, GU

Publishable Summary for 15HLT06 MRTDosimetry Metrology for clinical implementation of dosimetry in molecular radiotherapy

Risks from Internal Emitters - misuse of equivalent and effective dose

Overview of ICRP Committee 2 Doses from Radiation Exposure

Patients, Staff, Public, Animals Evaluate RP needs related to emerging technologies. Produce recommendations and user-friendly guidance on RP.

ISO INTERNATIONAL STANDARD

IAEA BSS WORKSHOP (2012): DOSE LIMITS & DOSE CONSTRAINTS

Joint ICTP-IAEA School of Nuclear Energy Management August The IAEA Safety Standards. Dominique Delattre IAEA, Vienna Austria

ICNIRP Radiofrequency Guidelines Public Consultation version

Strategic Research Agenda of EURADOS, highlighting synergies

Where does the estimate of 29,000 cancers come from? Based on Table 12D from BEIR VII, + risk estimates for 56,900,000 patients

Individual Sensitivity

FORO: Enhancing Radiation Protection and Nuclear Safety in Ibero-America

Protection of the public in situations of prolonged radiation exposure

Dose Estimates for Nuclear Medicine Procedures: What are they? Where do they come from?

EMERGENCY PREPAREDNESS AND RESPONSE

Evening session 1 Stakeholder platform opportunity 18:30-20:00 IAEA International Atomic Energy Agency

The health risks of exposure to internal radiation. Korea National Assembly Seoul 22 nd August 2015

An Open Letter To IAEA

Radiation Health Effects

COMMISSION STAFF WORKING DOCUMENT IMPACT ASSESSMENT. Accompanying the document COUNCIL DIRECTIVE

15 December 2012 Fukushima Prefecture, Japan

Trust Policy 218 Ionising Radiation Safety Policy

Estimating Risk of Low Radiation Doses (from AAPM 2013) María Marteinsdóttir Nordic Trauma,

MEASUREMENT OF THE EQUIVALENT INDIVIDUAL DOSES FOR PATIENTS IN ANGIOGRAPHY PROCEDURE AND INTERVENTIONAL RADIOLOGY WITH THERMOLUMINESCENT SYSTEMS

Current and Planned NCRP Activities

Generic risk statements regarding ionising radiation for MPE and CRE statements in the IRAS application form and Participant Information Sheets

Protection action levels for radionuclides in foodstuffs in the context of an emergency, based on Health Canada guidance.

The IAEA BSS and development of an international dosimetry protocol

Summary of Patient Release after Radioiodine Therapy Research Review

Waste Safety Activities Relevant to DS284, CRAFT Project

Learning Objectives. Review of the Radiobiological Principles of Radiation Protection. Radiation Effects

The Fukushima Ministerial Conference on Nuclear Safety. Fukushima Prefecture, Japan, December 2012 CHAIRPERSON SUMMARIES

WHO's response to the Fukushima Daiichi NPP accident

Author(s) : Title: HERCA WG Medical Applications / Sub WG Exposure of Asymptomatic Individuals in Health Care

Procedure. Identify all possible radiation hazards.

EURADOS Work on Internal Dosimetry

Hajo Zeeb. Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany

ICRP Perspective on Internal Dosimetry OIR and Radiopharmaceuticals

Online Form. Welcome to the Integrated Research Application System. IRAS Project Filter

Quality and Safety of Patient Healthcare and Personalized Medicine Using Ionizing Radiation

Radiation related cancer risk & benefit/risk assessment for screening procedures

SPANISH INTERCOMPARISON OF APPROVED PERSONAL DOSIMETRY SERVICES USING PHOTON RADIATION BEAMS

Updating WENRA Reference Levels for existing reactors in the light of TEPCO Fukushima Dai-ichi accident lessons learned

Sources of Data of Stochastic Effects of Radiation. Michael K O Connor, Ph.D. Dept. of Radiology, Mayo Clinic

FUNDAMENTAL SAFETY OVERVIEW VOLUME 2: DESIGN AND SAFETY CHAPTER S: RISK REDUCTION CATEGORIES 3. RADIOLOGICAL CONSEQUENCES OF SEVERE ACCIDENTS

Assessing the standard dose to standard patients for x-ray investigations

Overview of Strengthened IAEA Safety Standards

The Linear No-Threshold Model (LNT): Made to Be Tested, Made to Be Questioned. Richard C. Miller, PhD Associate Professor The University of Chicago

RADIATION PROTECTION NO 175

Questions and Answers on Candidates for Substitution

RADIATION LOW DOSES AND THE EXEMPTION CRITERIA. Daniele GIUFFRIDA FANR EXPERT IN RADIATION PROTECTION

Comments of the International Atomic Energy Agency on the draft revised International Health Regulations of the World Health Organization

International Radiation Protection Association 11 th International Congress Madrid, Spain - May 23-28, 2004

Transcription:

ICRP: What It Does and Why Dr Jack Valentin Scientific Secretary, ICRP International Commission on Radiological Protection ICRP: Who, why, what? The 2007 Recommendations Justification (political) optimisation limits & constraints Focus on the exposure situation; include non-human species Related guidance Recent reports; work in the pipeline Topical advice Recent reports; work in the pipeline

About ICRP

ICRP, an Independent Registered Charity Established to advance for the public benefit the science of Radiological Protection, in particular by providing recommendations and guidance on all aspects of protection against ionising radiation.

Structure of ICRP, 2005 2009 Main Commission Chair: Dr L-E Holm, SE 12 other members Scientific Secretariat Dr J Valentin, SE C1- Radiation Effects Dr R J Preston, US C2- Doses from Radiation Exposure Dr H Menzel, CH C3- Protection in Medicine Dr C Cousins, UK Task Groups C4- Application of ICRP Recommend:s Dr A Sugier, FR Working Parties C5-Prot. of the Environment Prof J Pentreath, UK

Structure of ICRP, 2005 2009

Structure of ICRP, 2005 2009

ICRP In The Cosmic Scheme Basic Scientific Studies Scientific Evaluations (UNSCEAR, BEIR etc.) ICRP Recommendations Regional (PAHO, EC, NEA) & Topical (ILO, WHO, FAO) Stand s International Safety Standards: BSS (IAEA) Industry Stand s (ISO, IEC) National Regulations Demonstration of Compliance

The 2007 Recommendations of ICRP

Why Are We Updating New biological & physical information Validity of the LNT model? (Linear, No Threshold) Increasing use of radiation in medicine Increase professional awareness? Post-Chernobyl lessons; inclusion of natural exposures Coherent, consistent implementation of ICRP Publication 60? Protection of the environment Scientific proof of adequate protection?

ICRP 1990 Rec s: Logical But Complex

Aims of the Revision Take account of new science Feed back experience of current radiation safety standards Improve & streamline the presentation Use an open, transparent process (9 years gestation!) Maintain as much stability as is consistent with the new information

To Get the Recommendations Buy printed or electronic copies IRPA Associated Societies are eligible for a discount Developing countries: free download at HINARI Junior staff: summary in JRP For all of this, see www.icrp.org Or translate them

In Brief, the Recommendations Retain the fundamental principles of protection Clarify how they apply to sources and the individual Change the focus from process (practice/intervention) to exposure situation (planned/emergency/ existing) Extend the concept of source-related constraints to all situations Update weighting factors and detriment Maintain the current dose limits And for more details, welcome to Background Plenary II, tomorrow afternoon!

In Support of The 2007 Recommendations

Publication 99: Low-Dose Cancer Risk Focus on doses below dose limits Validity of the LNT model? (Linear, No Threshold) LNT: Scientifically plausible but not unambiguous (cf. Central Limit Theorem, i.e., valid at the population level) Fractionation / protraction of dose lower risk For low dose, divide solid cancer risk by DDREF (Dose, Dose rate REduction Factor) = 2 Uncertain possibility of a threshold uncertainty in DDREF Anyway, evidence not in favour of a universal threshold

Publication 101: (a) Representative Person Replaces average member of the critical group Representative of the 5% more highly exposed not the most extreme Check: Reasonable? Sustainable? Homogeneous? Dose assessment: deterministic or probabilistic Prospective (hypothetical person) or retrospective (can be real person) Simplified age averaging Intake coefficients: 6 age groups Modelling Repr. Person 3 groups (age 0-5, 6-15, 16-70) Remember: age-specific biokinetics, but age-averaged cancer risk Involve stakeholders to identify characteristics Improves quality, understanding, and acceptability

Publ. 101: (b) Optimisation of Protection Source-related process to keep doses / number exposed / probability of accidents as low as reasonably achievable With individual doses below appropriate constraints Taking account of economic & social factors An ongoing, cyclical process A frame of mind have I done all that I reasonably can? Applies to all exposure situations: Planned-Emergency- Existing Extends and updates, but does not cancel, old advice Involve stakeholders But do not surrender responsibility for final decision!

Publ. 101: (b) Optimisation, cont d Decision-aiding techniques are, just, useful tools Optimisation is sound judgement, not mathematics Collective dose: a useful, but not sufficient, input use matrix! E.g., local-regional-global; short-medium-long term; low-medium-high doses A key parameter (at least in worker protection), but we usually also need: average dose, number exposed, range, etc Perhaps give more weight to a few large doses than to many small doses doses now than to doses in the far future

Publ. 104: Scope of Radiological Protection Exclusion: Uncontrollable exposures E.g., natural radionuclides in the body; cosmic radiation at ground level Exemption from specified requirements: If unwarranted In planned situations Activities conducted justified Individual risk acceptably small Protection optimised No appreciable probability of failure to meet these conditions <10 usv/y often exempted but NOT the sole criterion; exempt on basis of optimisation, not triviality of dose Clearance: a sub-case of exemption When material/site changes so that a regulatory requirement is no longer warranted

Publ. 104: Scope of Radiol.Protection, cont d

Publ. 104: Scope of Radiol.Protection, cont d Generically derived exemption / clearance levels Exemption levels: basically, a national regulatory decision International intergovernmental organisations: useful standardisation Activity Activity concentration in low amounts Activity concentration in any amount (in a given situation / for unrestricted release) Emergency situations: exclusion / exemption irrelevant Existing situations: is an intervention justified? Is protection optimised? There is no single look-up number! Regulatory control should achieve net benefit Requirements should be applied such that protection is optimised

Publ. 105: Radiation Protection in Medicine Focus on justification and optimisation Justification for a defined purpose; for an individual patient Limits and constraints could do more harm than good Medical condition often more critical than the radiation exposure Diagnostic and interventional radiology Equipment should facilitate dose management Diagnostic Reference Levels (national/regional/local) for peer achievement Radiation therapy Accident avoidance Reduction of side effects (including 2nd cancers) Comforters / carers, and volunteers in research Dose constraints appropriate

Publ. 107: Nuclear Decay Data (in press) An electronic database: half-lives, decay chains, yields, etc Supersedes Publication 38 1292 radionuclides of 97 elements, of which 329 with halflives <10 min. Publ. 38 had 820 radionuclides, of which 56 with half-lives < 10 min Data are provided on a CD-ROM in the report Data presented in a format suitable for dosimetrists Continuous energy distributions of beta and fission neutrons are given Tabulation of emitted radiations not restricted by page size!

Publ. 108, with ICRU: Reference Phantoms (in press) Voxel-based, sex-specific Adjusted to agree with Reference Man and Woman Phantom data provided on a CD-ROM in the report To permit your own calculations Will be the basis of dose [conversion] coefficients for internal [and external] exposure Some examples given in the report Fetus and child phantoms are in the pipeline

And in Due Course. Dose coefficients for intakes of radionuclides For occupational and public exposures Including fetus and breast-feeding infants Replacing Publ. 30 / 56 / 72 / etc. Dose conversion coefficients for external exposures Together with ICRU Replacing ICRP Publ. 74 = ICRU Report 57

Topical reports

Recent & Current Reports Publication 100 the Human Alimentary Tract (HAT) Supporting Guidance 5 Criteria behind ICRP levels Publ 102 Multi-Detector CT Publ 106 Radiopharmaceuticals, P 53 Add. 3 (in press) Publ XX Reference Animals and Plants Publ XX Radiological protection in cardiology Publ XX 2nd cancers and new radiotherapy techniques Publ XX Avoiding accidents with new radiotherapy

and ICRP Work Continues Thank You!