Medical irradiation risk assessment based on the data of radiation-hygienic passportization in the regions of the Russian Federation
Abstract
This article is aimed at methodology development for collective risk assessment of medical irradiation, basing on results of radiation-hygienic passportization in the Russian Federation regions, i.e. using values of collective effective doses for big groups of medical technologies: photoroentgenography, roentgenography, roentgenoscopy, and computer tomography. Use of the effective dose concept for medical irradiation risk definition involves a number of essential restrictions. Age and sex of the employees and of general population (effective dose concept has been developed for these groups of people) may essentially differ from those in patients. Lifelong risk of stochastic effects occurrence in children is 2-3 times higher than the rating values used in effective dose concept, while for elderly people (about 60 years at irradiation time) it’s 4-5 times lower. The article suggests the algorithm of effective doses values correcting factors assessment for consideration of dependence of radiogenic cancer risk factors on age and sex. This enables to assess more correctly collective risk of radiology and nuclear medicine imaging. Since patients tend to be elderly and their risk factor is below the rating used in the effective dose concept, the values of these correcting factors for most radiology and nuclear medicine imaging are below one. Thus, in most cases, the effective dose concept leads to conservative assessment of medical irradiation collective risk.
About the Author
V. Ju. GolikovRussian Federation
Senior Researcher
References
1. Mezhdunarodnaja komissija po radiacionnoj zashhite. Publikacija 103 MKRZ/Pod red. D. Valentina [International Commission on Radiation Protection. Publication 103 MKRZ/ under the editorship of D. Valentine], М, A.I. Burnazyan FMBTS, 2009.
2. Martin, C.J. Effective dose: how should it be applied to medical exposures? Br J Radiol, 2007. 80, 639-647.
3. Brenner, D.J. Effective dose: a flawed concept that could and should be replaced. Br J Radiol, 2008, 81, 521-523.
4. Balonov M.I., Golikov V.Ju., Kal’nickij S.A. [et al] Risk stohasticheskih jeffektov obluchenija vsledstvie rentgenograficheskih issledovanij: zavisimost’ ot pola i vozrasta pacienta [Risk of irradiation stochastic effects due to radiographic imaging: dependence on the patient’s sex and age]. Medicinskaja radiologija i radiacionnaja bezopasnost ‘- Medical radiology and radiation safety, 2011, vol. 56, No 4, pp. 71-79.
5. United Nations Scientific Committee on the Effects of Atomic Radiation 2006 Report: Effects of ionizing radiation – UNSCEAR, 2006, Volume 1. United Nations, New York
6. Wall, B.F., Haylock, R., Jansen, J.T.M., Hillier, M.C., Hart, D., Shrimpton, P.C., Radiation Risks from Medical X-ray Examinations as a Function of the Age and Sex of the Patient. Report HPACRCE-028. Health Protection Agency, 2011,Chilton.
7. Metodicheskie rekomendacii. Ocenka radiacionnogo riska u pacientov pri provedenii rentgenoradiologicheskih issledovanij(MR 2.6.1. 098-15) [Guidelines. Radiation risk assessment in patients at carrying out of radiology and nuclear medicine imaging (МР 2.6.1. 098-15)], M, Rospotrebnadzor, 2015.
8. European Guidance on Estimating Population Doses from Medical X-Ray Procedures. Radiation Protection, 2008, No154, European Commission.
9. Golikov V.Ju., Balonov M.I., Kal’nickij S.A. Urovni obluchenija pacientov pri provedenii rentgenologicheskih issledovanij v Sankt-Peterburge i Leningradskoj oblasti [Levels of patients irradiation at carrying out of radiological imaging in Saint-Petersburg and the Leningrad region] ] Radiacionnaja gigiena-Radiation Hygiene,2011,Volume 4, No 1, pp. 5-13.
10. Bratilova A.V., Golikov V.Ju., Kal’nickij S.A. Urovni obluchenija pacientov pri provedenii rentgenovskoj komp’juternoj tomografii v medicinskih organizacijah Sankt-Peterburga i Leningradskoj oblasti [Levels patients irradiation at carrying out of X-ray computer tomography in the medical institutions of Saint-Petersburg and the Leningrad region]. Radiacionnaja gigiena -Radiation Hygiene, 2014, vol. 7, No 3, pp. 33-38.
11. Balonov M.I., Golikov V.Ju., Zvonova I.A. [et al] Sovremennye urovni medicinskogo obluchenija v Rossii [Modern levels of medical irradiation in Russia]. ]. Radiacionnaja gigiena-Radiation Hygiene, 2015, vol. 8, No 3, pp. 67-79.
Review
For citations:
Golikov V.J. Medical irradiation risk assessment based on the data of radiation-hygienic passportization in the regions of the Russian Federation. Radiatsionnaya Gygiena = Radiation Hygiene. 2015;8(4):6-14. (In Russ.)