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Release of Patients After Radionuclide Therapy: Radionuclide Releases to the Environment from Hospitals and Patients

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Abstract

Nuclear medicine involves the use of unsealed radionuclides that not only expose the investigated or treated patient but also have the potential to expose members of the public (including other patients), relatives, and caregivers. Radioiodine treatment for hyperthyroidism and thyroid cancer is the main source of exposure to the public and relatives from patients who have received unsealed radionuclides.

It is recommended that release of patients should be decided on an individual basis (rather than retained activity and worst-case scenario). The ICRP Publication 94 and the IAEA Safety Report Series No. 63 could be helpful in this work.

The release of radionuclides from hospitals and from patient excreta (from patients in the hospital, at their homes, or at other places outside the hospital) to the public sewage system leads to increased levels of radionuclides in wastewater and sewage sludge.

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References

  1. International Atomic Energy Agency, with contributions from International Commission on Radiological Protection (2009) Release of patients after radionuclide therapy. IAEA Safety Report Series No. 63, Vienna. http://www-pub.iaea.org/MTCD/publications/PDF/pub1417_web.pdf

  2. International Atomic Energy Agency (2011) Radiation protection and safety of radiation sources: international basic safety standards. Interim edition. Safety Standards Series No. GSR Part 3 (interim). IAEA, Vienna

    Google Scholar 

  3. International Commission on Radiological Protection (1996) Radiological protection and safety in medicine. ICRP Publication 73. Ann ICRP 26(2)

    Google Scholar 

  4. International Atomic Energy Agency (1996) International basic safety standards for protection against ionizing radiation and for the safety of radiation sources. IAEA Safety Series No. 115. IAEA, Vienna

    Google Scholar 

  5. European Commission (1998) Radiation protection following 131I-therapy. Exposures due to out-patients or discharged in-patients. Radiation Protection 97. Directorate General for Environment Nuclear Safety and Civil Protection, Brussels

    Google Scholar 

  6. International Commission on Radiological Protection (2004) Release of patients after therapy with unsealed radionuclides. ICRP Publication 94. Ann ICRP 34(2)

    Google Scholar 

  7. International Atomic Energy Agency, Pan American Health Organization, World Health Organisation (2002) Radiological protection for medical exposure to ionizing radiation. IAEA safety standards series no. RS-G-1.5. IAEA, Vienna

    Google Scholar 

  8. National Council on Radiation Protection and Measurements (2011) Management of radionuclide therapy patients. NCRP report no. 155, NCRP

    Google Scholar 

  9. Barrington SF, O’Doherty MJ, Kettle AG, Thomson WH, Mountford PJ, Burrell DN, Farrell RJ, Batchelor S, Seed P, Harding LK (1999) Radiation exposures of families of outpatients treated with radioactive iodine (iodine-131) for hyperthyroidism. Eur J Nucl Med 26:686–692

    Article  PubMed  CAS  Google Scholar 

  10. Swedish Radiation Safety Authority (2010) Radiation safety authority’s regulations on radioactive waste and discharges from activities with unsealed sources. SSMFS 2010:2. SSM, Stockholm (in Swedish)

    Google Scholar 

  11. Andersson P, Carlsson M, Falk R, Hubbard L, Leitz W, Mjönes L, Möre H, Nyblom L, Söderman A-L, Yuen Lasson K, Åkerblom G, Öhlén E (2007) The radiation environment in Sweden. Report SSI 2007:02 2007. ISSN 0282-4434 (in Swedish)

    Google Scholar 

  12. Mattsson S, Erlandsson B (1981) Medicinskt använda radionuklider i avloppsvatten och rötslam. SSI-Report P105 (in Swedish)

    Google Scholar 

  13. Erlandsson B, Mattsson S (1978) Medically used radionuclides in sewage sludge. Water Air Soil Pollut 9:199–206

    Article  CAS  Google Scholar 

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Correspondence to Sören Mattsson .

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Mattsson, S., Bernhardsson, C. (2013). Release of Patients After Radionuclide Therapy: Radionuclide Releases to the Environment from Hospitals and Patients. In: Mattsson, S., Hoeschen, C. (eds) Radiation Protection in Nuclear Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-31167-3_10

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  • DOI: https://doi.org/10.1007/978-3-642-31167-3_10

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