J. Radiat. Res., 50, 89–96 (2009) Award Review Article# Effective Dose Measured with a Life Size Human Phantom in a Low Earth Orbit Mission Hiroshi YASUDA* Space radiation/Effective dose/Life size human phantom/Astronaut/Low earth orbit. The biggest concern about the health risk to astronauts is how large the stochastic effects (cancers and hereditary effects) of space radiation could be. The practical goal is to determine the “effective dose” precisely, which is difficult for each crew because of the complex transport processes of energetic secondary particles. The author and his colleagues thus attempted to measure an effective dose in space using a life-size human phantom torso in the STS-91 Shuttle-Mir mission, which flew at nearly the same orbit as that of the International Space Station (ISS). The effective dose for about 10-days flight was 4.1 mSv, which is about 90% of the dose equivalent (H) at the skin; the lowest H values were seen in deep, radiation-sensitive organs/tissues such as the bone marrow and colon. Succeeding measurements and model calculations show that the organ dose equivalents and effective dose in the low Earth orbit mission are highly consistent, despite the different dosimetry methodologies used to determine them. INTRODUCTION The health effects of space radiation on astronauts need to be precisely quantified and controlled. Astronauts are exposed to a complex radiation field consisting of protons, heavy ions and secondary particles including neutrons with a broad range of energy.1) The dose rate in space is much higher than that of natural radiation on the ground, and the accumulated dose during a long space mission could present a non-negligible cancer risk.2) This risk and other biological effects in such a special environment are uncertain and need to be quantified through strategic, programmatic studies. The major concern about the space radiation health risk is stochastic effects, that is, cancers and hereditary effects. This effect is generally quantified with the “effective dose (E).” 3,4) The definition of E takes into account the different relative radiosensitivities of the various organs and tissues in the human body with respect to radiation detriment from stochastic effects. The E is given as the tissue-weighted sum of equivalent doses in critical organs/tissues; the equivalent dose is defined as the radiation-weighted sum of absorbed dose at each organ/tissue. For applications, however, a single *Corresponding author: Phone: +81-(0)43-206-3233, Fax: +81-(0)43-206-3542, E-mail: [email protected] National Institute of Radiological Sciences Anagawa, Inage-ku, Chiba 2638555, Japan. doi:10.1269/jrr.08105 # JRRS Incentive Award wR value of 20 recommended for all types and energies of heavy charged particles is too conservative and, according to ICRP,4) more realistic approach based on the concept of quality factor (Q), i.e., dose equivalents, may have to be employed. The Q characterizes the biological effectiveness of a radiation based on the ionization density along the tracks of charged particles in tissue and generally given as a function of the unrestricted linear energy transfer (LET). The effective dose has only been measured once, in the STS-91 phantom torso experiment.5) Most other studies have been devoted to describing transport processes of space radiation components using computer codes6–9) with anatomical models.10,11) However, the interactions of energetic space radiation, particularly high-charge and highenergy (HZE) particles of galactic cosmic radiation, are extremely complicated and uncertain. The accuracy of model prediction is desirably to be verified by measurements using a life-size human phantom onboard a spacecraft. Therefore, in this paper, the experimental procedure of the effective dose measurement in the low Earth orbit mission is briefly introduced and the results are compared with those of succeeding studies including numerical simulations. OUTLINE OF EFFECTIVE DOSE MEASUREMENT IN SPACE Considering the importance of determining the effective dose, the author and his colleagues designed and performed an experiment to measure directly the organ doses of a human phantom torso in the STS-91 Shuttle-Mir mission, J. Radiat. Res., Vol. 50, No. 2 (2009); http://jrr.jstage.jst.go.jp 90 H. Yasuda which flew at nearly the same orbit as that of the International Space Station (ISS) (inclination: 51.6°, altitude: ~400 km).5) Organ dose equivalents were measured with combined dosimeter packages consisting of thermoluminescence dosimeters (TLD) of Mg2SiO4:Tb (MSO, Kasei Optonics, Inc.) and plastic nuclear track detectors (PNTD) of highly sensitive CR-39 (HARZLAS TD-1, Fukuvi Chemical Industry). Such small-scale dosimeters are much beneficial because they avoid disturbing the surrounding radiation field in the phantom. In general, the efficiency of TLD changes to a large extent depending on the ionization density along the track of a particle which is often denoted as LET.13–23) This phenomenon has successfully been explained a priori for LiF TLDs by means of target-hit models based on the track structure theory.24–27) TLD values obtained as γ-ray equivalent absorbed doses have some errors for space radiation, and the errors have to be corrected based on experimental data obtained in ground-based studies. We thus examined responses of various TLDs and other luminescence dosimeters using protons at the Cyclotron and heavy ions at the Heavy Ion Medical Accelerator in Chiba (HIMAC) of National Institute of Radiological Sciences (NIRS). The relative efficiencies in reference to 137Cs γ-rays are derived on the absorbed dose basis. The smoothed LET-dependent efficiency curves that were obtained from the data plots of selected dosimeters irradiated with relativistic ion beams are shown in Fig. 1.15–23) From these results, we found that MSO is the most useful TLD substance, because its efficiency is almost unity up to 10 keV μm–1 and decreases in the larger LET range that can be detected with PNTD (Fig. 3). The track formation sensitivities of PNTD, including their incident angle dependence, were quantified as a function of LET using heavy ion beams of NIRS-HIMAC, as shown in Fig. 3. The strong dependence of PNTD sensitivity on incident angles was incorporated into a conservative regression curve that would not underestimate radiation doses (Fig. 3b), adhering to radiological protection practices. A set of three TLD and two PNTD chips was put into a case of tissue-equivalent resin. Fifty-nine detector cases were placed into or on critical organ/tissue positions of a life-size human phantom (RANDO Phantom, Alderson Research Laboratories) composed of polyurethane and a human skeleton, as indicated in Fig. 4. The phantom was covered with a suit of heat-resistant fibers (Nomex, DuPont, Inc.), and four detector cases were put into the suit pockets both at the chest and abdomen. The phantom was fixed with Fig. 1. Regression curves of relative efficiencies as a function of LET for selected integrating dosimeters15–23): TLD-Mg2SiO4:Tb (MSO), TLD-BeO:Na, TLD-7LiF:Mg,Ti, the radiophotoluminescence dosimeter (RPLD) of a phosphate glass, the optically stimulated luminescence dosimeter (OSLD) of Al2O3:C, and the direct ion storage dosimeter (DIS-1). Most of the data were obtained using heavy ion beams at NIRS-HIMAC. Fig. 2. Plots of relative TL efficiency of TLD-Mg2SiO4:Tb (MSO) as the 137Cs-γ equivalent versus the unrestricted LET in water.5) Efficiency less than unity (0.95) was uniformly given for the particles with LET ≤ 10 keV μm–1. The efficiency curve in the range of LET > 10 keV μm–1 was given for the plots (black circles) obtained by linear extrapolation of the plots of C, Ne, and Fe in the logarithmic scales to the energy of 100 MeV amu–1. J. Radiat. Res., Vol. 50, No. 2 (2009); http://jrr.jstage.jst.go.jp Effective Dose in LEO (a) 91 (b) Fig. 3. (a) Plots of the track-formation sensitivity (S) of PNTD as a function of beam incident angle; and (b) plots of the unrestricted LET in water as a function of S for vertically incident beams.5) Using these data, we determined the detection threshold for vertical beams of 5 keV μm–1 and the effective threshold of 12.5 keV μm–1 for isotropic space radiation. The regression curve for calibration was conservatively given as shown in the figure (b). Fig. 4. Illustration of the human phantom torso with indications of the detector case positions. The cross view of each section is seen from above, except the shoulder-bone surface (sec-11). The phantom was covered by a Nomex suit, and the detector cases (No. 52–59) for the breast and skin were put into the pockets on the suit. bungee cords onto a rack at the starboard side in the Spacehab Module of the Space Shuttle Discovery (Fig. 5). The shuttle Discovery was launched from NASA Kennedy Space Center (KSC), Florida, at 18:10 June 2, as the STS91/9th Shuttle-Mir Mission. The Shuttle docked to the Russian Space Station Mir two days later (13:02, June 4) and, after orbiting the earth for about 4 days, undocked from Mir at 12:05, June 8. The mission continued with lowering altitude for additional 4 days until landing at KSC at 14:03 June 12. Total flight duration was 9 days and 20 hours (9.8 days). All the detector cases were removed from the phantom at the NASA Johnson Space Center (JSC), Texas, and sent to NIRS, Japan, for dosimeter analyses. Absorbed doses were evaluated based on the efficiencycorrected values of TLD as γ-ray equivalent absorbed doses (Fig. 2), and the spectra of LET greater than 10 keV μm–1 J. Radiat. Res., Vol. 50, No. 2 (2009); http://jrr.jstage.jst.go.jp 92 H. Yasuda were estimated from the PNTD track data. Organ dose equivalents were calculated from the absorbed doses and the LET spectra according to the Q (L) function in the ICRP 1990 recommendations3); details of dose determination procedures were explained in the paper5) of the author and his colleagues. Table 1 shows the values of absorbed dose (DT), dose equivalent (HT), and effective quality factor (Qe) in critical organs/tissues of the phantom torso flown in the STS-91 experiment. The absorbed doses varied by a factor of 1.6 and the dose equivalents by a factor of 1.5 among the organs and tissues. Qe ranged from 1.7 to 2.4, varying by a factor of 1.4. Summing up these organ and tissue doses weighted by the tissue weighting factors of the 1990 ICRP recommendations,3) we calculated the effective dose (E) as 4.1 mSv for this 9.8-day mission. This E value was about 90% of the skin dose equivalent (Hskin) measured on the abdomen. About 70% of E came from five internal organs and tissues, the lung, stomach, bone marrow, colon, and gonad (testis). Fig. 5. Illustration of Space Shuttle Discovery (above) and a perspective view of the Spacehab Single Module (below) indicating the location of the phantom torso. The Phantom was fixed with bungee cords to the rack at the starboard side. COMPARISONS WITH THE RESULTS OF SUCCEEDING STUDIES During the STS-91 mission, organ doses of the phantom torso were measured also by Badhwar et al., NASA Johnson Table 1. The values of absorbed dose, dose equivalent, and effective quality factor for organs/tissues and effective dose obtained for the phantom torso experiment in the 9.8-day STS-91 mission (51.6° × ~400 km).5) Measurements were made with combined CR-39/TLD methodology. The tissue weighting factors (wT) and the wT-weighted dose equivalents are also shown. Organ/ Tissuea Absorbed dose (DT) [mGy (H2O)]b Organ/tissue dose equivalent (HT) [mSv]b Effective quality factor (Qc) Tissue weighting factor (wT) HT × wTb Skin 2.2 ± 0.17 4.5 ± 0.05 2.0 ± 0.16 0.01 0.05 ± 0.001 Thyroid 2.2 ± 0.12 4.0 ± 0.21 1.9 ± 0.16 0.05 0.20 ± 0.011 Bone surface 2.7 ± 0.24 5.2 ± 0.22 1.9 ± 0.12 0.01 0.05 ± 0.002 Esophagus 2.1 ± 0.13 3.4 ± 0.49 1.7 ± 0.17 0.05 0.17 ± 0.024 Lung 2.1 ± 0.31 4.4 ± 0.76 2.1 ± 0.20 0.12 0.53 ± 0.091 Stomach 2.4 ± 0.30 4.3 ± 0.94 1.8 ± 0.50 0.12 0.52 ± 0.113 Liver 2.3 ± 0.33 4.0 ± 0.51 1.7 ± 0.33 0.05 0.20 ± 0.026 Bone marrow 1.8 ± 0.10 3.4 ± 0.40 1.9 ± 0.14 0.12 0.41 ± 0.048 Colon 1.7 ± 0.22 3.6 ± 0.42 2.2 ± 0.44 0.12 0.43 ± 0.050 Bladder 1.8 ± 0.16 3.6 ± 0.24 2.0 ± 0.25 0.05 0.18 ± 0.012 Gonad (Testis) 2.0 ± 0.05 4.7 ± 0.71 2.4 ± 0.37 0.20 0.94 ± 0.142 Breast (Chest) 2.3 ± 0.16 4.5 ± 0.11 1.9 ± 0.13 0.05 0.23 ± 0.006 Remainder 2.1 ± 0.15 4.0 ± 0.57 1.9 ± 0.22 0.05 0.20 ± 0.029 Effective dose [mSv]: a 4.1 ± 0.22 Bone surface is at the shoulder. The dose at the breast was measured in a Nomex-suit pocket on the chest; the skin dose was measured in another pocket on the abdomen. b The value shows a mean (m) ± one standard deviation (σ); the σ indicates a statistical error (type-A) only. Systematic errors (type-B) of the detector system were conservatively incorporated into the values, in keeping with radiological protection practices, by using conservative calibration curves in both the correction of TLD efficiency (Fig. 2) and the determination of LET using PNTD (Fig. 3). c The Q-LET relationship and the wT values were adopted from the 1990 recommendation of ICRP, although the concept of dose equivalent was introduced in 1977 recommendations. J. Radiat. Res., Vol. 50, No. 2 (2009); http://jrr.jstage.jst.go.jp Effective Dose in LEO Space Center (NASA-JSC), using small active detectors of Si PIN diodes.28) Table 2 shows a comparison of the absorbed doses in critical internal organs/tissues measured by Badhwar et al. to our measurements. Both sets of data agreed well, and the error is within 20%. Also, comparisons of calculations by Cucinotta et al.29) using the HZETRN/QMSFRG transport model30) to the measured values are shown in Table 3. Very good agreement with less than 25% error was seen for all organs, and, regarding the effective dose, both data were in excellent agreement with only 5% difference. Another phantom torso experiment was performed by the scientists of NASA-JSC for the ISS Increment-2 mission in 2001. In this experiment, small active Si detectors were located in critical organs of a phantom torso, as described by Badhwar et al.28); in addition, a tissue equivalent proportional counter (TEPC) and a charged particle directional spectrometer (CPDS) were included on the flight.30) Comparisons of the measurements to the calculations using the HZETRN/QMSFRG model resulted in very good agreement (Table 4).29) Considering the large uncertainties of biological effects, predictions of effective dose using transport models have a high level of accuracy at this time, at least for low Earth orbit missions. We found that the dose rate obtained in the STS-91 experiment (about 0.4 mSv d–1) is smaller than that estimated by previous observations (0.6 to 0.8 mSv d–1) using a multilayer Si detector and combined CR-39/TLD methodology.32,33) Relatively high dose rates were observed in previous experiments using TEPC for the Space Shuttle mission.34,35) The dose rate, however, markedly decreased with increasing polyethylene cover thickness (Table 5).35) The polyethylene Table 2. Comparison of absorbed doses measured using combined CR-39/TLD methodology5) with those using small Si diode detectors28) for the STS-91 phantom torso experiment. Organ/ Tissue 93 with a thickness of 13 g cm–2 reduced the dose equivalent to about half of the bare TEPC’s value. This fact suggests that a human body works as an efficient shielding material against space radiation exposure. A t-test between Hskin and HT values (Table 1) obtained in STS-91 showed that Hskin was higher than HT in almost all the organs and tissues tested. HT values greater than Hskin were observed at the shoulder-bone surface only. This Table 3. Comparison of organ dose equivalents measured using combined CR-39/TLD methodology5) with calculations using the HZETRN/QMSFRG transport model29) for the STS91 phantom torso experiment. Organ dose equivalent for 9.8 days [mSv] Organ/ Tissue Ratio (Cucinotta/Yasuda) Measured by Calculated by Yasuda et al. Cucinotta et al. Skin 4.5 ± 0.05 4.7 1.04 Thyroid 4.0 ± 0.21 4.0 1.00 Bone surface 5.2 ± 0.22 4.0 0.77 Esophagus 3.4 ± 0.49 3.7 1.09 Lung 4.4 ± 0.76 3.8 0.86 Stomach 4.3 ± 0.94 3.6 0.84 Liver 4.0 ± 0.51 3.7 0.93 Bone marrow 3.4 ± 0.40 3.9 1.15 Colon 3.6 ± 0.42 3.9 1.08 Bladder 3.6 ± 0.24 3.5 0.97 Gonad (Testis) 4.7 ± 0.71 3.9 0.83 Breast (Chest) 4.5 ± 0.11 4.5 1.00 Remainder 4.0 ± 0.57 4.0 1.00 Effective dose 4.1 ± 0.22 3.9 0.95 Note: The value shows a mean (m) ± one standard deviation (σ). Measured absorbed dose for 9.8 days [mGy (H2O)] Ratio (Badhwar/Yasuda) Yasuda et al. Badhwar et al. with CR-39/TLD with Si diode Brain 2.4 ± 0.20 2.23 ± 0.09 0.93 ± 0.09 Bone surface 2.7 ± 0.24 2.16 ± 0.08 0.80 ± 0.08 Table 4. Comparison of the organ dose rates measured using small Si detectors to calculations using the HZETRN/ QMSFRG model for the ISS Increment-2 phantom torso experiment in 2001.29) Esophagus 2.1 ± 0.13 1.71 ± 0.06 0.81 ± 0.06 Absorbed dose rate [mGy d–1] Lung 2.1 ± 0.31 1.92 ± 0.15 0.91 ± 0.15 Stomach 2.4 ± 0.30 2.05 ± 0.23 0.85 ± 0.14 Liver 2.3 ± 0.33 1.88 ± 0.19 0.82 ± 0.14 Bone marrow 1.8 ± 0.10 1.75 ± 0.13 0.97 ± 0.09 Colon 1.7 ± 0.22 1.71 ± 0.24 Bladder 1.8 ± 0.16 Gonad (Testis) 2.0 ± 0.05 Organ Trapped radiation GCR Total Ratio (Model/ Expt.) Expt. Model Expt. Model Expt. Model Brain 0.051 0.066 0.076 0.077 0.127 0.143 1.13 1.01 ± 0.19 Thyroid 0.062 0.072 0.074 0.077 0.136 0.148 1.09 1.58 ± 0.07 0.88 ± 0.09 Heart 0.054 0.061 0.075 0.076 0.129 0.137 1.06 1.75 ± 0.13 0.88 ± 0.07 Stomach 0.050 0.057 0.076 0.077 0.126 0.133 1.06 0.056 0.073 0.076 0.128 0.131 1.02 Note: The value shows a mean (m) ± one standard deviation (σ). Colon 0.055 J. Radiat. Res., Vol. 50, No. 2 (2009); http://jrr.jstage.jst.go.jp 94 H. Yasuda finding is favorable for controlling space radiation exposure, because it is expected that the individual dose of an astronaut could be measured conservatively on the skin surface at the breast/abdomen. It should be noted, however, that the HT values in selected radiation-sensitive organs such as the lung, stomach, gonad, and breast were not significantly different from the Hskin value. A similar flat distribution of dose equivalents in a life-size phantom was observed in the ISS phantom torso experiment.29) The data are shown in Table 4. Organ dose equivalents at the brain, thyroid, heart, stomach, and colon were at the same level, despite the varying depths of these organs from the skin. Such a flat distribution of internal dose was not expected based on previous model calculations34–36); Table 5. Absorbed doses and dose equivalent rates measured during a Shuttle-Mir mission (51.6° × ~400 km) using TEPC under different thicknesses of polyethylene shielding.35) –1 Sphere thickness Dose equivalent rates [mSv d ] [g cm2] GCR Trapped particles Total 0.00 0.48 0.42 0.90 4.32 0.32 0.25 0.57 12.68 0.29 0.18 0.47 dose equivalents in deep organs had been predicted to be much lower than that at the skin. Although previous predictions may be true for a simplified structure like a polyethylene sphere,35) the human body is surely different from such an idealized shape. The difference in findings between earlier studies and the present study suggests that operational quantities based on the ICRU sphere concept, such as the 1-cm ambient dose equivalent, may be inappropriate to apply for astronauts. In 2007, ICRP published new recommendations4) with new values of tissue weighting factor (wT); the wT value of breast increased from 0.05 to 0.12; that of gonad decreased from 0.20 to 0.8; those of bladder, esophagus, liver and thyroid decreased from 0.05 to 0.04; and the value of 0.12 is given in place of 0.05 for remainder tissues, including adrenals, extrathoracic region, gall bladder, heart, kidneys, lymphatic nodes, muscle, oral mucosa, pancreas, prostate, small intestine, spleen, thymus and uterus/cervix. In order to examine the effect of these changes, wT-weighted dose equivalents for selected organs/tissues and effective dose were calculated using 2007 wT values as shown in Table 6, compared to those obtained using 1990 wT values. It should be noted that contribution of the gonad remarkably decreased from 23% to 10%, whereas that of breast increased from 6% to 14%. As results, the effective dose slightly (about 3%) reduced from 4.1 mSv to 4.0 mSv. So far the update of wT values in 2007 does not seem to affect so Table 6. Organ dose equivalents weighted using the 2007 tissue weighting factors (wT)4) and effective dose for the STS-91 phantom torso experiment; the results using the 1990 tissue weighting factors are also shown for comparison. Organ dose 2007 tissue HT × wT equivalent (HT) weighting factor using 2007 wT b [mSv] (wT) Organ/Tissue HT × wT using 1990 wT Skin 4.5 ± 0.05 0.01 0.05 ± 0.001 0.05 ± 0.001 Thyroid 4.0 ± 0.21 0.04 0.16 ± 0.008 0.20 ± 0.011 Bone surface 5.2 ± 0.22 0.01 0.05 ± 0.002 0.05 ± 0.002 Esophagus 3.4 ± 0.49 0.04 0.14 ± 0.020 0.17 ± 0.024 Lung 4.4 ± 0.76 0.12 0.53 ± 0.091 0.53 ± 0.091 Stomach 4.3 ± 0.94 0.12 0.52 ± 0.113 0.52 ± 0.113 Liver 4.0 ± 0.51 0.04 0.16 ± 0.020 0.20 ± 0.026 Bone marrow 3.4 ± 0.40 0.12 0.41 ± 0.048 0.41 ± 0.048 Colon 3.6 ± 0.42 0.12 0.43 ± 0.050 0.43 ± 0.050 Bladder 3.6 ± 0.24 0.04 0.14 ± 0.010 0.18 ± 0.012 Gonad (Testis) 4.7 ± 0.71 0.08 0.38 ± 0.057 0.94 ± 0.142 Breast (Chest) 4.5 ± 0.11 0.12 0.54 ± 0.013 0.23 ± 0.006 Remainder 4.0 ± 0.57 0.12 0.48 ± 0.068 0.20 ± 0.029 4.0 ± 0.19 4.1 ± 0.22 Effective dose [mSv] Note: The value shows a mean (m) ± one standard deviation (σ). J. Radiat. Res., Vol. 50, No. 2 (2009); http://jrr.jstage.jst.go.jp Effective Dose in LEO much the risk estimates of stochastic effects for astronauts. CONCLUDING REMARKS According to the results obtained in the past phantom torso experiments,5,28,29) one would expect that the individual dose for an astronaut could be properly measured using a small personal dosimeter on the skin. To determine whether this is so, further investigation is needed on the effects of potential modifying factors such as variations of spacecraft shielding and/or orientation of a human body. Since a human body itself can work as a shielding material, the direction and posture of an astronaut should affect organ doses and could change effective dose, even at the same location in a spacecraft. Also, the balance of effective dose and specific organ doses might change depending on the solar cycle and flare events. Monitoring of solar activity changes is especially important to protect astronauts from flare particles during extravehicular activities.36) One challenge is that we cannot know the true value of the effective dose for each astronaut. Although the author tried to develop a simple method using combined small dosimeters to determine the dose equivalent at any position in a spacecraft,19,37,38) conversion from a dosimeter value to the effective dose is associated inevitably with certain uncertainties due to the complex transport phenomena of space radiation, particularly the HZE particles of galactic cosmic rays. The uncertainties need to be conservatively incorporated into the dose value in view of radiological protection, which leads to unnecessary restriction of human activities in space. Future longer missions such as moon base construction and Mars exploration will require more precise determination of career doses. Intensive efforts should be devoted to establishing a more reliable and practical method for risk estimation, such as probabilistic prediction in accordance with possible scenarios of astronaut behavior. Also, active dosimeter that can tell an astronaut the unexpected exposure to high dose radiation caused by solar particle event is desirable to be developed. Finally, ongoing efforts in the fields of radiation biology and medicine39–42) are no doubt important to reduce the large uncertainties associated with the biological effects of the HZE particles and their secondary radiations encountered in space.43–45) ACKNOWLEDGEMENTS Our studies have been supported and encouraged by many colleagues and collaborators. Special thanks are given to Dr. Kazunobu Fujitaka (NIRS) for his continuous guidance and encouragement. The author appreciate the excellent management of Mr. Tatsuto Komiyama (Japan Aerospace Exploration Agency). The late Dr. Gautam D. 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