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28 Mar 2013

RADIATION PROTECTION PART 1


1.1   INTRODUCTION
Health Physics, is that area of environmental health engineering that deals with the protection of the individual and population groups against the harmful effects of ionizing radiation. The health Physicist is responsible for the safety aspects in the design of processes, equipment, and facilities utilizing radiation sources, so that radiation exposure to personnel will be minimized, and will at all times be within acceptable limits; and he must keep personnel and the environment under constant surveillance in order to ascertain that his designs are indeed effective. If control measures are found to be ineffective, or if they break down, he must be able to evaluate the degree of hazard, and to make recommendations regarding remedial action.
The scientific and engineering aspects of health physics are concerned mainly with;(l) the physical measurements, of different types of radiation and radioactive materials, (2) the establishment of quantitative relationships between radiation exposure and biological damage, (3) the movement of radioactivity, through the environment, and (4) the design of radio logically safe equipment, processes, and environments.
1.2   Relationship BETWEEN Quality Factor  and Linear Energy Transfer
LET keV per micron in water
QF
3.5 or less
1
3.5-7.0
1-2
7.0-23
2-5
23-53
5-10
53-175
10-20

Quality Factor Values for Various Radiations
Radiation
QF
Gamma-rays from radium in equilibrium With its decay products(filtered by 0.5 mm Platinum)


1
X-rays
1
Beta-rays and electrons of energy 0.03 MeV
1
Beta rays and electrons of energy 0.03 MeV
1.7
Thermal neutrons
3
Fast neutrons
10
Protons
10
Alpha-rays
10
Heavy ions
20

1.3  RADIATION PROTECTION GUIDES
1.3.1 Organizations that Set Standards
1.3.2    International Commission on Radiological Protection
The basic responsibility for providing guidance in matters of radiation safety has been assumed by the international Commission on Radiological protection (ICRP).This organization was established in 1928 by the Second International Congress of Radiology as the International X-ray and Radium Protection Commission.
1.3.3  INTERNATIONAL ATOMIC ENERGY AGENCY
The international Atomic Energy Agency (IAEA), a specialized of the United Nations that was organized in 1956 in order to promote the peaceful uses of nuclear energy, is concerned with the partial application of the 1CRP recommendations. " Under its Statute the International Atomic Energy Agency is empowered to' provide for the application of standards of safety for protection against radiation to its own operations and to operations making use of assistance provided by it or with which it is otherwise directly associated,
1.3.4  INTERNATIONAL LABOUR ORGANIZATION
The international Labour Organization ( ILO), which was founded in 1919 and then became part of the League of Nations, survived the demise of the League to become the first of the specialized agencies of the United Nations: its concern generally is with the social problems of labor. Included in its work is the specification of international labor standards which deal with the health and safety of workers. These specifications are set forth in the model, code of safety regulations for industrial Establishments for the Guidance of Governments and Industries, in the recommendations of expert committees, and in technical manuals. In regard to radiation, the model code has been amended to incorporate those recommendation of the ICRP that are pertinent to control of occupational radiation hazards, and several manuals dealing with protection of workers against radiation hazards have been published.


1.4  INTERNATIONAL COMMISSION OR RADIOLOGICAL UNITS AND MEASUREMENTS
The International Commission on Radiological Units and Measurements (ICRU), which works closely with the ICRP, has had, since its inception in 1925, as its principle objective the development of internationally acceptable recommendations regarding:
1)      Quantities and units of radiation and radioactivity.
2)      Procedures   suitable   for  the  measurement  and   application   of these quantities in clinical radiology and radiobiology.
3)      Physical data needed in the application of theses procedures^ the use of which tends to assure uniformity in reporting.
1.5   BASIC RADIATION SAFETY CRITERIA
For purposes of radiation safety, the International Commission on Radiological protection (ICRP) recognizes two categories of exposure:
1)      Occupational exposure-to adults who are exposed to ionizing radiation in the course of their work. Persons in this exposure category may be called radiation workers. This category contains two sub-groups: (a) women of reproductive capacity and (b) all other radiation workers.
2)      Exposure of the general public.
For occupational exposure, the basic recommendations for maximum exposure limits in the case of routine, long-term (lifetime), continuous exposure are:
1)      Whole body, gonads, lenses of the eye, or hemopoietic system: the total accumulated lifetime dose may not exceed that given by the formula. D=     5(N-18)     rem,
Where N is the worker's age in years. The only restriction to this formula is that the dose not exceed 3 rem for any consecutive 13-week period for workers who are not women of reproductive capacity. For women of reproductive capacity, occupational exposure is limited to 1.3 rem per consecutive 13-week period, under this restriction, the dose to an embryo during the first 2 months of pregnancy would normally be less than 1 rem. If the woman is pregnant the total accumulated dose during the remaining 7 months is restricted to Irem.


1.6   RADIOACTIVITY
Radioactivity may be defined as spontaneous nuclear changes that result in. the formation of new elements. These changes are accomplished by one of several different mechanisms, including alpha particle emission, beta particle and positron emission, and orbital electron capture. Each of these reactions may or may not be accompanied by gamma radiation. Radioactivity and radioactive properties of nuclides are determined by nuclear considerations only, and are independent of the chemical and physical states of the radioisotope.


1.6.1 Kinds of radiation Alpha radiation
An alpha particle is a highly energetic helium nucleus that is emitted from the nucleus of the radioactive isotope when the neutron to proton ratio is too low. It is a positively charged, massive particle, consisting of an assembly of two protons and two neutrons.
Alpha particles are extremely limited in their ability to penetrate matter. The dead outer layer of skin is sufficiently thick to absorb all alpha radiations from radioactive materials. As a consequence, alpha radiation from sources outside the body do not constitute a radiation hazard. In the case of internally deposited alpha-emitting isotopes, however, the shielding effect of. the dead outer layer of skin is absent, and the energy of the alpha radiation is dissipated in living tissue. Alpha radiation is highly toxic when it irradiates the inside of the body from internally deposited radioisotopes.
1.6.2  POSITRON EMISSION
In those instances where the neutron to proton ratio is too low and alpha emission is not energetically possible, the nucleus may, under certain conditions, .attain stability by emitting a positron. A positron is a beta particle whose charge is positive. In all other respects it is the same as the negative beta particle, or an ordinary electron. Its mass is 0.000548 atomic mass units and its charge is + 4.8 x 10-10 sV)
Since positrons are electrons, the radiation hazard from the positrons themselves is very similar to the hazard from beta particles, the gamma radiation resulting from the annihilation of the positron, however, makes all positron emitting isotopes potential external radiation hazards.
1.6.3   ORBITAL ELECTRON CAPTURE
If a neutron deficient atom is to attain stability by positron emission, it must exceed the weight of its daughter by at least two electron masses. If this requirement connot be met, then the neutron deficiency is overcome by the process known as orbital electron capture or, alternatively, as K capture, in this radioactive transformation, one of the extra-nuclear electrons is captured by the nucleus, and unites with an intra-nuclear proton to form a neutron. Whenever an atom decays by orbital electron capture, an X-ray characteristic of the daughter element is emitted as.an electron from an outer orbit falls into the energy level occupied by the electron which had been captured. That characteristeic X-rays of the daughter should be observed follows from the fact that the X-ray photon is emitted after the nucleus captures the orbital electron and is thereby transformed into the daughter. These low energy characteristic X-rays must be considered by the health physicist when he computes absorbed radiation doses from internally deposited isotopes which decay by orbital electron capture.
1.6.4   BETA EMISSION
A beta particle is an ordinary electron that is ejected from the nucleus of a beta-unstable radioactive atom. The particle has a single negative electrical charge (4.8 x 10-10 sC) and a very small mass (0.00055 atomic mass units). Beta radiation, because of its ability to penetrate tissue to varying depths, depending on the energy of the beta particle, may be an external radiation hazard, the exact degree of hazard, of course, depends on the beta-emitting isotope, and must be evaluated in every case. Generally, however, beta-rays whose energies are less than 200 ke V and therefore have very limited penetrability, such as those from tritium, 35S, and 14 C, are not considered as external radiation hazard. It should be noted, however, that beta-rays give rise to highly penetrating X-rays called bremsstrahlung when they are stopped by shielding. Unless shielding is properly designed, and proper precautionary measures adopted, beta radiation may indirectly result in an external radiation hazard through the production of bremsstrahlung. Any beta-emitting isotope, of course, is potentially hazardous when it is deposited in the body in amounts exceeding those thought to be safe.
1.6.5   GAMMA RAYS
Gamma rays are electromagnetic radiations with no charge they are of the same nature as x rays and hence like x-rays they produce Compton and photoelectric effects.
Gamma rays coming from nuclei possess energies of the order of several maga electron volts.(Mev)
High energy gamma ray are very penetrating and can traverse a for greater thickness of matter as compared to alpha and beta particles.
1.6.6   NEUTRON EMISSION
Neutron carries no charge and has mass nearly equal to that of proton due to the absence of electrostatic forces ionization of an atom is cause only by direct collision. Thus a neutron though highly penetrating is far less ionizing than charged particle.
1.7   HALF-LIFE
The time required for any given radioisotope to decay to one-half of its original quantity is a measure of the speed with which the isotope undergoes radioactive  decay.  This period  of time  is  called the half-life,  and  is characteristic of the particular radioisotope. Each radioisotope has its own unique rate of decay, and no operation, either chemical or physical, is known that will  change the decay rate;  the half-life of a radioisotope is an unalterable property of the isotope, Half-lives of radioisotopes range groin microseconds to billions of years. From the definition  of the half-life, it follows that the  fraction of a radioisotope remaining after n half-lives is given by the relationship.
A/A0-1/2-
Where A0 is the original quantity of activity, and A is the activity left after n half-lives.
1.8  RADIATION DOSIMETRY
1.8.1  CURIE
The curie is the activity of that quantity of radioactive material in which the number of disintegrations per second is 3.7 x 10 10.
It should be emphasized that, although the curie is defined in terms of a number of disintegrating atoms per second, it is not a measure of rate of decay. The curie is a measure only of quantity of radioactive material.
For health physics, as well as for many other purposes, the curie is a very large quantity of activity. Submultiples of the curie, as listed below, therefore are used:
1 millicurie (mCi)        =          10-3    Ci
1 microcurie ( u Ci)     =          10-6    Ci
1 nanocurie ( nCi)       =          10-9    Ci
1 picocurie   (pCi)       =          10-12 Ci
Multiples of the curie that are frequently used are the kilocurie and the megacurie. These quantities are generally not abbreviated.
1.8.2   ABSORBED DOSE: THE RAD
Radiation damage depends on the absorption of energy from the radiation, and is proportional to the concentration of absorbed energy in tissue. For this reason, the basic unit of radiation dose is expressed in terms of absorbed energy per unit mass of tissue. This unite is called the rad             (Radiation Absorbed Dose) and is defined as:
One rad is an absorbed radiation dose of 100 ergs per gram.
The rad is universally applicable to all types of radiation dosimetry-irradiation due to external fields of gamma-rays, neutrons, or charged particles as well as that due to internally deposited radioisotopes.
1.8.3   DOSE EQUIVALENT: THE REM
The rem is the unit of radiation dose equivalent (DE) that is used for radiation safety purposes and for administrative purposes. The dose equivalent, expressed in rems, considers the QF of radiation as well as the absorbed dose, plus other factors, such as non-uniform distribution of an internally deposited radioisotope, DF, that may influence the biologic effect of a given absorbed dose.
The dose equivalent is defined by
DE, rems        =         dose, rads x QF x DF.
An absorbed dose of 1 mrad of X- or beta-rays is equal to 1 mrem, and an absorbed heavy ion dose of 1 mrad is 20 mrem. The rad is based on only physical factors; while the rem considers both physical and biological factors..Maximum allowable radiation dose for the various radiations is given in units of res or millirems. The use of the rem unit in routine radiation surveying is illustrated by the following example:
The dose rate outside the shielding of a cyclotron is found to be 0,5 m R/hr gamma; 0.2 mrad/hr thermal neutrons, and 0.1 mrad/hr fast neutrons. What is the total dose rate of the combined radiations.
Gamma-rays:               0.5 mR/. hr x 1            =                      0.5 mrem/hr
Thermal neutrons:       0.2 mrad/hr x 3            =                      0.6 mrem/hr
Fast neutrons               0.1 mrad/hr x 10          =                      1.0 mrem/hr
Mixed radiation dose rate                   =                      2.1 mrem/hr

1.8.4   EXPOSURE: THE ROENTGEN
For external radiation of any given energy flux, the absorbed dose to any point within an organism depends on the type and energy of radiation, the depth within the organism of the point at which, the absorbed. dose is desired, and elementary constitution of absorbing medium at this point.
The ICRU defined exposure as " the quotient of Q by m, where Q is the sum of the electrical charges on all the ions of one sign produced in air when all the electrons (negatrons and positrons), liberated by photons in a volume element of air whose mass is m, are completely stopped in air". The special unite of exposure in air is the roentgen.
1 R - 2.58 x 10-4   Coulombs /kg
The operational definition of the roentgen may be easily converted into the more fundamental units of energy absorbed per unit mass of air by applying the fact that the charge on a single ion is 4.8 x 10-10 sC and that the average energy dissipated in the production of a single ion pair in air is 34 eV. Therefore:
It should be noted that the roentgen is an integrated measure of exposure, and is independent of the time over which the exposure occurs. The strength of a radiation field is usually given as an exposure rate, such as roentgens per minute of milliroentgens per hour, (A milliroentgen, which is abbreviated "mR" is equal to 0.001 roentgens.) the total exposure, of course, is the product .of exposure rate and time.



1.9 BIOLOGICAL EFFECTS OF RADIATION
Radiation ranks among the most thoroughly investigated etiologic agents associated with disease. Although much still remains to be learned about the interaction between ionizing radiation and living matter more is known about the mechanism of radiation damage on the molecular, cellular, and organ system levels than is known for most other environmental stressing agents. Indeed, it is precisely this vast accumulation of quantitative doseresponse data that is available to the health physicist that enables him to/specify environmental radiation levels for occupational • exposure, thus permitting the continuing industrial, scientific, and medical exploitation of nuclear energy in safety.
1.9.1 DIRECT ACTION
The ross biological effects resulting from overexposure to radiation are the sequellae to a long and complex series of events that are initiated by ionization or excitation of relatively few molecules in the organism. For example, the L.D-50/30 day dose for man of gamma-rays is about 400 rad. Since 1 rad corresponds to an energy absorption of 100 ergs/g, or 6.25 x 10 18 eV/g, and since about 34 eV arc expended in producing a single ionization, the lethal dose produces, in tissue, 400 rad x 6.25 x 1013 eV/g/rad                  = 7.65 x 10 l4 34 eV/ion
Ionized atoms per gram tissue. If we estimater that about nine other atoms arc excited for each one ionized, we find that about 7.56 x 10 15 atoms/g of tissue arc directly affected by a lethal radiation dose. In soft tissue, there are about 8 x m 22 atoms/g. the fraction of directly affected atoms, therefore, is

1.9.2 INDIRECT ACTION
Direct effects of radiation, ionization, and excitation are non-specific, and may occur anywhere in the body. When the directly affected atom is in a protein molecule, or in a molecule of nucleic acid, then certain specific effects dut to the damaged molecule may ensue. However, most of the body is water, and most of the direct action of radiation therefore is on water. The result of this energy absorption by water is the production, in the water, of highly reactive free radicals that are chemically toxic ( a free radical is a fragment of a compound or an element that contains an unpaired electron) and which may exert their toxicity on other molecules. When pure water-is irradiated we have.
H2O   H2O + e
And positive ion dissociates immediately according to the equation
H 2 O+ H+ + OH,
While the electron is picked up by a neutral water molecule
H2O + e- H2O-,
Which dissociates immediately
H2O- H + OH-
The ions H+ and OH-are of no consequence, since all body fluids already contain significant concentrations of both these ions. The free radicals H and OH may combine with like radicals, or they ract with other molecules in radiation. In the case of a high rate of linear energy transfer, such as results from passage of an alpha particle or other particle of high specific ionization, the free OH radicals are formed close enough together to enable them to combine with each other before they can recombine with free H radicals, which leads to the production of hydrogen peroxide.
OH + OH    H2O2,
Effects of radiation in which no threshold dose has been observed are thought to be the result of a direct insult to a molecule by ionization and excitation and the consequent dissociation of the molecule. Point mutations, in which there is a change in a single gene locus, is an example of such an effect. The dissociation, due to ionization or excitation, of an atom on the DNA molecule prevents the information originally contained in the gene from being transmitted to the next generation. Such point mutations may occur in the germinal cells, in which case the point mutation is passed on to the next individual; or it may occur in somatic cells, which results in a point mutation in the daughter cell. Since these point mutations are thereafter transmitted to succeeding generations of cells (except for the highly improbable instance where one mutated gene may suffer another mutation), it is clear that for those biological effects of radiation that depend on point mutations, the radiation dose is cumulative; every little dose may result in a change in the gene burden which is then continuously transmitted. When dealing quantitatively with such phenomena, however, we must consider the probability of observing a genetic change among the offspring of an irradiated individual. For radiation doses down to about 25 rad, the magnitude of the effect, as measured by frequency of gene mutations, is proportional to the dose. Below doses of about 25 rad, the mutation probability is so low that enormous numbers of animals must be used in order to detect a mutation that could be ascribed to the radiation. For this reason, no reliable experimental data are available for genetic changes in the range of 0 to about 25 rad.
2 RADIATION EFFECTS
In health physics, as in other areas of environmental control of harmful agents, we are concerned with two types exposure: (1) a single accidental exposure to a high dose of radiation during a short period of time, which is commonly called acute exposure, and which may produce biological effects within a short time after exposure;(2) long-term, low level overexposure, commonly called continuous 01 chronic "exposure, where the results of the overexposure may not be apparent for years, and which is likely to be the result of improper or inadequate protective measures.
2.1 ACUTE EFFECTS
Acute radiation overexposure affects all the organs and systems of the body. However, since not all organs and organ systems are equally sensitive to radiation, the pattern of response, or disease syndrome, in an overexposed individual depends on the magnitude of the dose. To simplify classification, the acute radiation syndrome is subdivided into three classes; in order of increasing seventy, these arc (1) the hemopoietic syndrome, (2) the gastrointestinal syndrome, and (3) the central nervous system syndrome. Certain effects are common to all categories; these include:
(a)      Nausea and vomiting,
(b)      Malaise and fatigue,
(c)      Increased temperature,
(d)      Blood changes.
2.1.1 DELAYED EFFECTS
The delayed effects of radiation may be due either to a single large over-exposure or can continuing low-level overexposure.
Continuing overexposure can be due to exposure to external radiation fields, or can result from inhalation or ingestion of a radioisotope which then becomes fixed in the body through chemical reaction with the tissue proteinor , because of the chemical similarity of the radioisotope with normal metabolites, may be systemically absorbed within certain organs and tissues.
In either case, the internally deposited radioisotope may continue to irradiate the tissue for a .long time. In this connection, it should be pointed out that the adjectives "acute" and "chronic", as ordinarily used by toxicologists to describe single and continuous exposures respectively, are not directly applicable to inhaled or ingested radioisotopes, since a single, over " acute" exposure may lead to continuous, or " Chronic" irradiation of the tissue in which the radioactive material is located. In the case of either a single massive over-exposure or continuous low level overexposure, the end results are the same among the delayed consequences of overexposure which are of greatest concern are cancer, shortening of life span, and cataracts.





















6.1 HEALTH PHYSICS INSTRUMENTATION 
6.1.1 Radiation Detectors
Man possesses no biological sensors of ionizing radiation. As a consequence he must depend entirely on instrumentation for the detection and measure­ment of radiation.
Although there are many different instrument types, the operating principles for most radiation-measuring instruments are relatively few. The basic require­ment of any radiation-measuring instrument is that the instrument's detector interact with the radiation in such a manner that the magnitude of the instru­ment's response is proportional to the radiation effect or radiation property under measurement.
6.1.1  radiation effects used in the detection and measurement of radiation
Effect
Type of Instrument
Detector
Electrical
1.
Ionization chamber
1.Gas

2. 3. 4.
Proportional counter
Geiger Counter
Solid state

2. Gas
3.Gas
4. Semiconductor
Chemical
1.
2.
Film
Chemical dosimeter
1.
2.
Photographic emulsion
Solid or liquid
Light
1.
2.
Scintillation counter Cerenkov counter
1.
2.
Crystal or liquid
Crystal or liquid
Thermo-luminescence

Thermoluminescent dosimeter

Crystal
Heat

Calorimeter

Solid or liquid

6.1.2 Particle-counting Instruments
Particle-counting instruments are frequently used by health physicists to determine the radioactivity of a sample taken from the environment, such as an air sample, or to measure the activity of a biological fluid from someone suspected of being internally contaminated. Another important application of particle-counting instruments is in portable radiation-survey instruments. Particle-counting instruments may be very sensitive they literally respond to a single ionizing particle. They are, accordingly, widely used for searching for unknown radiation sources, for leaks in shielding, and for areas of contam­ination. The detector in particle-counting instruments may be either a gas or a solid. In either case, passage of an ionizing particle through the detector results in energy dissipation through a burst of ionization. This burst of ionization is converted into an electrical pulse that actuates a readout device, such as a sealer or a rate meter, to register a count.

6.1.3 Scintillation Counters
A scintillation detector is a transducer that changes the kinetic energy of an ionizing particle into a flash of light. Historically, one of the earliest means of measuring radiation was by scintillation counting; Rutherford, in his classical experiments on scattering of alpha particles, used a zinc sulfide crystal as the primary detector of radiation; he used his eye to see the flickers of light that appeared when alpha particles struck the zinc sulfide. Today, the light is viewed electronically by photomultiplier tubes whose output pulses may be amplified, sorted by size, and counted. The various radiations may be detected with scintillation counters by using the appropriate scintillating material.
6.1.3. scintillating materials

Phosphor
Density
Wavelength
Relative
Decay time (µsec)

(g/cm3)
of maximum
pulse



emission, Å
height

Nal (Tl)
3.67
4100
210
0.25
Csl (Tl)
4.51
Blue
55
1.1
KI (Tl)
3.13
4100
50
1.0
Anthracene
1.25
4400
100
0.032
Trans-Stilbene
1.16
4100
60
0.0064
Plastic

3550-4500
28-48
0.003-0.005
Liquid

3550-4500
27-49
0.002-0.008
p-Terphenyl
1.23
4000
40
0.005

Where they are used to measure 14C and 3H
(With a suitable detector, a scintillation counter may also be used as a beta-ray or an alpha-ray spectrometer.)
Gamma-ray photons, passing through the crystal, interact with the atoms of the crystal by the usual mechanisms of photoelectric absorption. Compton scattering, and pair production. The primary ionizing particles resulting from the gamma-ray interactions—the photoelectrons, Compton electrons, and positron-electron pairs—dissipate their kinetic energy by exciting and ionizing the atoms in the crystal. The excited atoms return to the ground state by the emission of quanta of light. These light pulses, upon striking the photosensitive cathode of the photomultiplier tube, cause electrons to be ejected from the cathode. These electrons are accelerated to a second electrode, called a dynode, whose potential is about 100 V positive with respect to the photocathode. Each electron that strikes the dynode causes several other electrons to be ejected from the dynode, thereby "multiplying" the original photocurrent. This process is repeated about 10 times before all the electrons thus produced are collected by the plate of the photomultiplier tube. This current pulse, whose magnitude is proportional to the energy of the primary ionizing particle, can then be amplified and counted. Figure 9.9 illustrates schematically the sequence of events in the detection of a photon by a scintil­lation chamber.
A photoelectric interaction within the crystal produces essentially mono-energetic photoelectrons, which in turn produce light pulses of about the same intensity. These light pulses, being of equal intensity, lead to current output pulses of approximately the same magnitude).
6.1.4 Dose-measuring Instruments
Radiation flux is only one of the several factors that determine radiation dose. That a flux measuring instrument does not necessarily measure dose is shown by the following example:
Example 2.
Consider two radiation fields of equal energy density. In one case we have a 0.1 MeV photon flux of 2000 photons per cm2/sec. in the second case, the photon energy is 2 MeV and the flux is 100 photons per cm2/sec. The energy absorption coefficient for air for 0.1-MeV gamma radiation is 0.0233 cm2/g; for 2 MeV gammas, the energy absorption coefficient is 0.0238 cm2/g. The dose rates for the two radiation fields are given by:
=          8.5 X 10-8 jR/sec for the 0.1 MeV radiation, and
8.7 x 10-8 R/sec for the 2 MeV photons.
The dose rates for the two radiation fields are about the same. A flux-measur­ing instrument, however, such as a Geiger counter, would register about 20 times more for the 0.1 MeV radiation than for the higher-energy radiation.

6.1.5 Pocket Dosimeters
To measure radiation dose, the response of the instrument must be pro­portional to absorbed energy. A basic instrument for doing this, the free air ionization chamber, was described in Chapter 6. In that chapter, too, it was shown that an "jair wall" ionization chamber could be made on the basis of the operational definition of the roentgen, and that such an instrument could be used to measure exposure dose. Ionization chambers of this type, which are often called "pocket dosimeters", are widely used for personnel monitor­ing. Two types of pocket dosimeters are in common use. One of these is the condenser type, as illustrated in Fig. 6.2. This type pocket dosimeter is of the indirect reading type; an auxiliary device is necessary in order to read the measured dose. This device, which is in reality an electrostatic voltmeter that is calibrated in roentgens, is called a "charger-reader" (because it is also used to charge the chamber). The term minometer is often used synonymously with charger-reader. Figure 9.14 shows a photograph of a pocket dosimeter and its charger-reader. Commercially available condenser-type pocket dosi­meters measure integrated X- or gamma-ray exposure doses up to 200 mR with an accuracy of about ± 15% for quantum energies between about 0.05 and 2 MeV. For quantum energies outside this range, correction factors, which are supplied by the manufacturer, must be used. These dosimeters also respond to beta-rays whose energy exceeds 1 MeV. By coating the inside of the chamber with befron, the pocket dosimeter can also be made sensitive to thermal neutrons he standard type of pocket dosimeter, is de­signed for measuring X and gamma radiation only. It is calibrated either with radium or 60Co gamma-rays. Pocket dosimeters discharge slowly even when they are not in a radiation field because of cosmic radiation and because charge leaks across the insulator that separates the central electrode from the outer electrode. A dosimeter that leaks more than 5 % of the full-scale reading per day should not be used. Usually, two pocket dosimeters are worn. Since a mal-function will always cause the instrument to read high, the lower of the two readings in considered as more accurate. Because of leakage and possibility of malfunction due to being dropped, pocket dosimeters are usually worn for one day. Reading the instrument erases its information content. It is therefore necessary to recharge the indirect reading pocket dosimeter after each reading.
6.1.6 Film Badges
Another very commonly used personnel monitoring device is the film badge (Fig. 9.17), which consists of a packet of two (for X or gamma) or three (for X, gamma, and neutrons) pieces of dental-sized film wrapped in light-tight paper and worn in a suitable plastic or metal container. The two films for X-and gamma-radiation include a sensitive emulsion and a relatively insensitive emulsion. Such a film pack is useful over an exposure range of about 10 mR to about 1800 R of radium gamma-rays. The film is also sensitive to beta-radiation, and may be used to measure beta-ray dose, from betas whose maxi­mum energy exceeds about 400 keV, from about 50 mrad to about 1000 rad. Using appropriate film and technics, thermal neutron doses of 10 mrem to 1000 rem, and fast neutron doses from about 40 mrem to 100 rem may be measured.
Film badge dosimetry is based on the fact that ionizing radiation exposes the silver halide in the photographic emulsion, which results in a darkening of the film. The degree of darkening, which is called the optical density of the film, can be precisely measured with a photoelectric densitometer whose reading is expressed as the logarithm of the intensity of the light transmitted through the film. The optical density of the exposed film is quantitatively related to the magnitude of the exposure.
6.1.7 Thermoluminescent Dosimeter
Many crystals, including CaF2, containing Mn as an impurity and LiF emit light if they are heated after having been exposed to radiation; they are called thermoluminescent crystals. Absorption of energy from the radiation excites the atoms in the crystal, which results in the production of free electrons and holes in the thermoluminescent crystal. These are trapped by impurities or imperfections in the crystalline lattice thus locking the excitation energy into the crystal. Heating the crystal releases the excitation energy as light. Which is obtained by heating the irradiated crystal at a uniform rate, and measuring the light output as the temperature increases. The temperature at which the maximum light output occurs is a measure of the binding energy of the electron on the hole in the trap. More than one peak on a glow curve indicates different trapping sites, each with its own binding energy. The total amount of light is proportional to the number of trapped, excited electrons, which in turn is proportional to the amount of energy absorbed from the radiation. The intensity of the light emitted from the thermoluminescent crystals is thus directly proportional to the radiation dose.
                                                                                                                                                                                                                                             



7.1 EVALUATION OF PROTECTIVE MEASURES
The effectiveness of protective measures against radiation hazards is evalua­ted by a surveillance program that includes observations on both man and his environment. Such a surveillance program may employ one or more of a variety of techniques, depending on the nature of the hazard and the con­sequences of a breakdown in the system of controls. These techniques may include pre-employment physical examinations, periodic physical examina­tions, estimation of internally deposited radioactivity by bioassay and total body counting, personnel monitoring, radiation and contamination surveys, and continuous environmental monitoring.
7.1.1 Medical Surveillance
The great degree of overexposure required before clinical signs or symptoms of overexposure appear precludes the use of medical surveillance of radiation workers as a routine monitoring device. Nevertheless, medical supervision may play an important role in protecting radiation workers against possible radiation damage. Among the main tasks of medical supervision is the proper placement of radiation workers according to their medical histories and physical condition, and history of previous radiation exposure. Dermatitis, cataracts, and blood dyscrasias, including leukemia are associated with radiation exposure. A pre-employment physical examination, therefore, should be given if the nature of the work, including consideration to possible accidental overexposures, warrants it—in which special attention is paid to physical conditions that may lead to, or be suggestive of, susceptibility to any of these effects. Possible indirect effects from working with radioisotopes also are considered by the examining physician. For example, sensitivity or allergy may contraindicate work that requires the wearing of rubber gloves °r that may require washing the hands or body with strong detergents or harsh chemicals in order to decontaminate the skin. In addition to the pre-employment examination, the radiation worker may be routinely examined at Periodic intervals to ascertain that he continues to be free of signs that would contraindicate further occupational exposure to radiation. The physician is thus instrumental in preventing damage or injury that could otherwise have arisen, either directly or indirectly, as a consequence of working with radio-isotopes or exposure to radiation. Medical supervision of radiation workers may also be necessary to evaluate overexposure, to treat radiation injuries and to decontaminate personnel. These activities of the physician are, of course, in addition to the routine health services that he provides which are not connected to radiation hazards. It should be pointed out that medical surveillance of workers is not unique to the field of radiation health. All good occupational health programs include pre-employment examinations, con­sideration of medical findings in job placement, and continuing medical surveillance to help maximize the protection of workers against the harmful effects of toxic substances.
7.1.2 Estimation of Internally Deposited Radioactivity
One of the techniques for evaluating a contamination control program is the determination of the body burdens of personnel who are at risk. This deter­mination is done indirectly by bioassay methods, and directly by total body counting in the case of gamma-emitting radionuclides or beta emitters that give rise to suitable bremsstrahlung. The underlying rationale for bioassay is that a quantitative relationship exists among inhalation or ingestion of a radionuclide, the resulting body burden, and the rate at which the radio-nuclide is eliminated either in the urine or in the feces. From measurements of activity in the urine and feces, therefore, we should be able to infer the body burden. Unfortunately, the kinetics of metabolism of most substances is influenced by a large number of factors, and, as a consequence, the desirable quantitative relationships between body burden and elimination rates are known for relatively few cases. In most instances, therefore, bioassay data give only a very approximate estimate of the degree of internal deposition of radio­activity. Although both urine and feces are available for bioassay measure­ments in case of an accidental inhalation or ingestion of a large amount of radioactivity, routine bioassay monitoring is usually done only with urine samples, because of the ease of sample collection and also for esthetic reasons.
For purposes of bioassay, we distinguish between readily soluble and difficultly soluble compounds. This distinction is especially important in the case of inhaled particulates that are relatively insoluble, in which the difficultly soluble material is brought up from the lung and swallowed, while at the same time some of the inhaled particulate matter is dissolving and being absorbed into the body fluids. The resulting complexities due to varying pulmonary deposition and clearance rates and the varying urinary to fecal ratios of t radionuclide makes it difficult to quantitatively estimate the lung dose from difficultly soluble air-borne contamination. Nevertheless, an estimate of t minimum amount of difficultly soluble radioactive particulates that was deposited in the upper respiratory tract following a single accidental inhala­tion could be made from the cumulative fecal activity during the first few days after the inhalation. With this information, and using the ICRP model for lung clearance, a less reliable estimate can then be made of the activity remaining in the deep respiratory tract.
Readily soluble radionuclides may be grouped into three categories accord­ing to their distribution and metabolic pathways: (1) those that are uniformly distributed throughout the body, such as 3H in tritiated water or radiosodium ions, (2) those that concentrate mainly either in specific organs, such as iodine in the thyroid gland, mercury in the kidney, or in the intracellular fluid, such as potassium or cesium, and (3) those which are deposited in the skeleton.
7.1.3 Personnel Monitoring
Personnel monitoring is the continuous measurement of an individual's exposure dose by means of one or more types of suitable instruments, such as pocket meters, film badges, and thermoluminescent dosimeters, which are carried by the individual at all times. The choice of personnel monitoring instrument must be compatible with the type and energy of the radiation being measured. For example, a worker who is exposed only to 14C would wear no personnel monitoring instrument, since these isotopes emit only beta-rays of such low energy that they are not recorded by any of the commercially available personnel monitoring devices. Bioassay procedures would be indicated if personnel monitoring were necessary.
7.2 Radiation and Contamination Surveys
A survey is a systematic set of measurements made by a health physics surveyor in order to determine one or more of the following:
(a)  an unknown radiation source,
(b)  dose rate,
(c)  surface contamination,
(d)  atmospheric contamination.
In order to make these determinations, the health physics surveyor must choose the appropriate instruments, and must use it properly.
7.3 Surface Contamination
Surface contamination can be located by scanning with a sensitive detector, as a thin end window Geiger counter. After finding a contaminated spot or area, a dose-measuring instrument may be employed to measure the dose rate at some appropriate distance from the surface. The main hazard from surface contamination is transmission of the contamination from the surface into the body via inhalation or ingestion. To estimate this hazard, a smear test is performed to determine whether the surface contamination is fixed or loose, and therefore transmissible. A smear test consists of wiping the suspected area with a piece of filter paper several centimeters in diameter and then mea­suring the activity in the paper. The area to be smeared varies according to the extent of the suspected contamination and the physical conditions under which the survey is made; a wipe-area of 100 cm2 is not uncommon. A smear survey, which is a systematic series of smears without first using a scanning instrument to detect the contamination, is often done in a work area that is subject to contamination, and where the background due to radiation sources is high enough to mask the activity due to contamination. It should be empha­sized that a smear test is a qualitative, or at best a semiquantitative determin­ation whose chief purpose is to allow an estimate to be made of the degree to which surface contamination is fixed. If significant transmissible contamina-ation is found, and, if in the opinion of the health physicist this contamination may be hazardous, then prompt decontamination procedures are instituted.
7.4 Leak Testing Sealed Sources
Sealed gamma-ray, beta-ray, bremsstrahlung and neutron sources are used in a wide variety of applications in medicine and in industry. In all cases, the radioactive material is permanently enclosed either in a capsule or another suitable container. Before being shipped from the supplier, all such sources must pass inspection for freedom from surface contamination and leakage. Either during transport from the supplier or in the course of time, however, the capsule may develop faults through which the radioactive source material may escape into the environment. Because of the serious consequences of such an escape, a sealed source must be tested before being put into use and periodically thereafter for surface contamination and leakage. The testing cycle depends on the nature of the source and on the kind of use to which it is put. However, it is usually recommended that such tests be performed at least once every 6 months. The following technics may be employed to per­form these tests: to test for surface contamination, wipe all exposed external surfaces of the source thoroughly with a piece of filter paper or a cotton swab moistened with an appropriate solvent, then measure the activity on the paper or the swab. The source is considered free of surface contamination if less
than 0.005 µCi alpha or less than 0.05 µCi beta activity was wiped off. To test for leakage, one of the following tests may be performed:
1.    Wipe the source with either a piece of wet filter paper or a cotton swab. Repeat at least 7 days later. If less than 0.005 µCi alpha or less than 0.05 /xCi beta activity was wiped off each time, then the source is considered free of leaks.
2.  For high activity sources such as those used in teletherapy, where
wiping the source might be hazardous, accessible surfaces of the hous­ing port or collimator may be wiped while the source is in the "off" position.
3.    Immerse the source in ethanediol, and reduce the pressure on the liquid to 100 mm Hg for a period of 30 sec. A leak is indicated if a stream of fine bubbles issues forth from the source. This method is reliable only for such sources where enough gas would be trapped to produce a stream of fine bubbles.
7.5 Air Sampling
Air sampling is considered an important part of a survey where there is a possibility of significant atmospheric contamination. Allowable working levels of contaminated air involve quantities of radioactivity very much less than those which would be considered hazardous if the activity were in a sealed source and if the hazard were limited only to external radiation. Furthermore, even if only sealed sources are used, a program of air sampling is recommend­ed if the nature of the source is such that radioactive gaseous or particulate matter could escape in the event that the source capsule develops a flaw. An air sample, in such a case, might detect the contamination and the leaky source before a significant amount of radioactivity escaped.
An air sampling system consists of three basic elements: (1) a source of suction (a vacuum pump) for drawing the air to be sampled through (2) a collecting device, which usually separates the contaminant from the air, and (3) a metering device for measuring the quantity of air sampled. After collection, the sample of the contaminant is counted to determine the radio­activity content, and then, when this information is combined with the size of the air sample, the concentration of atmospheric radioactivity is calculated.