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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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
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
International Commission on Radiological Protection (1996) Radiological protection and safety in medicine. ICRP Publication 73. Ann ICRP 26(2)
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
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
International Commission on Radiological Protection (2004) Release of patients after therapy with unsealed radionuclides. ICRP Publication 94. Ann ICRP 34(2)
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
National Council on Radiation Protection and Measurements (2011) Management of radionuclide therapy patients. NCRP report no. 155, NCRP
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
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)
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)
Mattsson S, Erlandsson B (1981) Medicinskt använda radionuklider i avloppsvatten och rötslam. SSI-Report P105 (in Swedish)
Erlandsson B, Mattsson S (1978) Medically used radionuclides in sewage sludge. Water Air Soil Pollut 9:199–206
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-3-642-31167-3_10
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-31166-6
Online ISBN: 978-3-642-31167-3
eBook Packages: MedicineMedicine (R0)