Dosimetry and related protocols in medical applications of ionizing radiation ISO/TC 085/SC 02/WG 22 Date: Doc. Number: 2014-01-27 N 0020 Assistant: Malika BELKEBIR Direct line : [email protected] Your contact: Laurence THOMAS Direct line : +33 1 41 62 83 70 [email protected] ISO/NWIP 19461 Measurement for the clearance of waste contaminated with radioisotopes for medical application FOLLOW For information UP Association Française de Normalisation 11, rue Francis de Pressensé F-93571 La Plaine Saint-Denis Cedex http://www.afnor.fr SIRET 775 724 818 00205 NEW WORK ITEM PROPOSAL Closing date for voting 2013-12-07 Date of circulation 2013-09-07 Secretariat AFNOR Reference number (to be given by the Secretariat) ISO/TC 85 / SC 2 N 1359 Proposal for new PC A proposal for a new work item within the scope of an existing committee shall be submitted to the secretariat of that committee with a copy to the Central Secretariat and, in the case of a subcommittee, a copy to the secretariat of the parent technical committee. Proposals not within the scope of an existing committee shall be submitted to the secretariat of the ISO Technical Management Board. The proposer of a new work item may be a member body of ISO, the secretariat itself, another technical committee or subcommittee, or organization in liaison, the Technical Management Board or one of the advisory groups, or the Secretary-General. The proposal will be circulated to the P-members of the technical committee or subcommittee for voting, and to the O-members for information. IMPORTANT NOTE: Proposals without adequate justification risk rejection or referral to originator. Guidelines for proposing and justifying a new work item are contained in Annex C of the ISO/IEC Directives, Part 1. Proposal (to be completed by the proposer) Title of the proposed deliverable. (in the case of an amendment, revision or a new part of an existing document, show the reference number and current title) English title Radiological protection - Measurement for the clearance of waste contaminated with radioisotopes for medical application French title Radioprotection - Mesurage pour la libération des déchets contaminés par des radioisotopes lors des applications médicales (if available) Scope of the proposed deliverable. This project contains the measurement method, procedure and condition to decide the storage time for clearance level based on the duration of storage for decay derived from initial activity concentration of the waste and half-lives of radioisotopes contained in the waste stream, and IAEA limiting values for clearance. The main subjects of the proposal are; - Terms and definitions, - Measurement method and procedure, - Determination of decay storage time for clearance of each kind of radioactive wastes and radionuclides, - Requirements (half-lives of radioisotopes, initial condition and activity concentration and storage condition), and - Correction factors, documentation and reporting, specification of measurement, uncertainty, record keeping, quality assurance and control. FORM 4 (ISO) v. 2012 Page 1 of 3 New work item proposal Purpose and justification of the proposal. The amount of disposable radioactive wastes in the hospital have been increased due to development of medical diagnosis and therapy rapidly. It contains very short lived radioisotopes, and generated mainly caused by PET/CT using F-18, Tc99m, etc,. IAEA proposed criteria for clearance level of waste to cope with the above situation witch are based on the individual (10μSv/y) and collective dose (1man-Sv/y), and concentration of each nuclides (IAEA Safety Series No 111-P-1.1, Application of exemption principles to the recycle and reuse of materuials from nuclear facilities, 1992, IAEA RS-G-1.7, Application of the concepts of exclusion, exemption and clearance, 2004). However, IAEA criteria require evaluation of dose or concentration on a case by case, it is not easy to apply IAEA methods practically. Therefore, the most countries apply simpler way depend on storage time. That is, the most advanced countries apply the method of introducing minimum storage time for decay to the wastes containing only very short lived radioisotopes instead of direct application of IAEA criteria. Therefore, it is needed to decide minimum storage time depend on suitable measurement for each radionuclide and waste With regard to the above situation, this project proposes measuring method, procedure and condition to decide of storage time for clearance level of radioactive waste contaminated with radioisotopes in the hospital. If a draft is attached to this proposal,: Please select from one of the following options (note that if no option is selected, the default will be the first option): Draft document will be registered as new project in the committee's work programme (stage 20.00) Draft document can be registered as a Working Draft (WD – stage 20.20) Draft document can be registered as a Committee Draft (CD – stage 30.00) Draft document can be registered as a Draft International Standard (DIS – stage 40.00) Is this a Management Systems Standard (MSS)? Yes No Indication(s) of the preferred type or types of deliverable(s) to be produced under the proposal. International Standard Technical Specification Proposed development track 1 (24 months) Publicly Available Specification 2 (36 months - default) Technical Report 3 (48 months) Known patented items (see ISO/IEC Directives, Part 1 for important guidance) Yes No If "Yes", provide full information as annex A statement from the proposer as to how the proposed work may relate to or impact on existing work, especially existing ISO and IEC deliverables. The proposer should explain how the work differs from apparently similar work, or explain how duplication and conflict will be minimized. The NWIP contains measurement method and procedure for the clearance of waste contaminated with radioisotopes for medical appliaction. This kind of standard has not been published as ISO and IEC standard. Therefore, it does not relate to or impact on existing work, and not be duplicated and conflicted with others. A listing of relevant existing documents at the international, regional and national levels. IAEA Safety Series No 111-P-1.1, Application of exemption principles to the recycle and reuse of materials from nuclear facilities, 1992 IAEA RS-G-1.7, Application of the concepts of exclusion, exemption and clearance, 2004 Draft ISO 19017 Guide for Gamma Spectrometry Measurement of Radioactive Waste (developed within ISO/TC85/SC5/WG13) A simple and concise statement identifying and describing relevant affected stakeholder categories (including small and medium sized enterprises) and how they will each benefit from or be impacted by the proposed deliverable(s) The NWIP can be applied in field of radioactive waste control in the hospital. This standard is expected to simplfy the radiation work for disposal of radioactive waste. Therefore, their radiation working time and radiation exposur will be reduced. FORM 4 (ISO) v. 2012 Page 2 of 3 New work item proposal Liaisons: Joint/parallel work: A listing of relevant external international organizations or internal parties (other ISO and/or IEC committees) to be engaged as liaisons in the development of the deliverable(s). Possible joint/parallel work with: IAEA IEC (please specify committee ID) CEN (please specify committee ID) Other (please specify) A listing of relevant countries which are not already P-members of the committee. None Preparatory work (at a minimum an outline should be included with the proposal) A draft is attached An outline is attached An existing document to serve as initial basis The proposer or the proposer's organization is prepared to undertake the preparatory work required Proposed Project Leader (name and e-mail address) Changbum KIM, Professional Engineer Korea Institute of Nuclear Safety, 19 Gusung-dong Yusunggu, 305-338 Daejeon (Korea) [email protected] Yes No Name of the Proposer (include contact information) Seong, Si-Heon Administrator Korean Agency for Technology and Standards Supplementary information relating to the proposal This proposal relates to a new ISO document; This proposal relates to the amendment of existing ISO document This proposal is for the revision of an existing ISO document; This proposal relates to the adoption as an active project of an item currently registered as a Preliminary Work Item; This proposal relates to the re-establishment of a cancelled project as an active project. Other: Annex(es) are included with this proposal (give details) FORM 4 (ISO) v. 2012 Page 3 of 3 New Work Item Proposal Measurements for the clearance of waste contaminated with radioisotopes for medical application CONTENTS Forward Introduction 1. Scope 2. Normative references 3. Terms, definitions and symbols 4. Fundamentals 4.1 Radioisotopes for in-vivo, in-vitro and research 4.2 Classification and characteristics of radioactive waste 4.3 Clearance level 5. Measurement method and procedure 6. Requirements 6.1 Initial condition 6.2 Storage of radioactive waste 6.3 Disposal method 7. Uncertainty 8. Quality control 9. Documentation and reporting Annex A (informative) Example of the procedure for clearance of radioactive waste Bibliography Foreword ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO member bodies). The work of preparing International Standards is normally carried out through ISO technical committees. Each member body interested in a subject for which a technical committee has been established has the right to be represented on that committee. International organizations, governmental and non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization. International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 3. The main task of technical committees is to prepare International Standards. Draft International Standards adopted by the technical committees are circulated to the member bodies for voting. Publication as an International Standard requires approval by at least 75 % of the member bodies casting a vote. Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. ISO shall not be held responsible for identifying any or all such patent rights. ISO XXXXX was prepared by Technical Committee ISO/TC 85, Nuclear energy, nuclear technologies, and radiological protection, Subcommittee SC 2, Radiological protection, Working Group WG XX. ISO XXXXX consists of the following parts, under the general title Measurements for the clearance of waste contaminated with radioisotopes for medical application. ⎯Part 1: Radioactive waste for in-vivo and in-vitro ⎯Part 2: Radioactive waste for research Annex A of this part of ISO XXXXX is for information only. Introduction This part of ISO XXXXX addresses method of radioactivity measurement, procedure of determining storage period and condition for the clearance of waste contaminated with radioisotopes for medical application based on the initial condition of each type of waste and equation of obtaining radioactivity from counting measurement using the detector. From the equation, the appropriate duration of storage for the radioactive waste before final disposal can be evaluated. The amounts of radioactive wastes which are disposed after their use in the hospital have been increased rapidly due to the development of various technologies applied for the diagnosis and radiation treatment using the nuclear medicine. Most of the nuclear medicines are radioisotopes with short halflife such as 18F or 99mTc used in PET/CT diagnosisetc, but their types and numbers used in the hospital are so numerous that the disposal of the remaining radioisotopes after use of the nuclear medicine becomes a serious concern. IAEA proposed criteria for the clearance level of radioactive waste depending on the individual dose (10 μSv/y),the collective dose (1 man-Sv/y) and the concentration of each nuclides (IAEA Safety Series No 111-P-1.1, Application of exemption principles to the recycle and reuse of materials from nuclear facilities, 1992, IAEA RS-G-1.7, Application of the concepts of exclusion, exemption and clearance, 2004) and methods of determining the clearance level from the criteria by evaluating of dose or concentration of the radioactive waste on a case by case basis. However, IAEA methods is so complicate for the practical application that the most countries use an alternative method of determining the minimum storage time based on the measurement of radioactivity and the radioactive decay for the mainly short-lived radioactive wastes instead of direct application of IAEA criteria. Therefore, the measurement of radioactivity becomes more significant in obtaining the accurate minimum storage time for each radioactive waste before its disposal. By taking the current situation regarding the clearance level into account, this document proposes measurement methods of establishing an appropriate clearance level for the radioactive wastes contaminated with radioisotopes after their use in the hospital. 1. Scope This part of ISO XXXXX establishes method of radioactivity measurement and determination of storage periods of the radioactive wastes produced as a result of the medical application of the radioisotopes based on the counting measurement using the detector and decay correction from initial activity concentration of the radioisotopes contained in the waste stream.It provides a set of control and measurement for the self-clearance of the radioactive wastes by which the hospital can assure to meet the clearance level. This International Standard may also be of use for the guidance to the regulatory body. 2. Normative references The following normative document contains provisions which, through reference in this text, constitute provisions of this part of ISO XXXXX. 2.1 IAEA Safety Series No 111-P-1.1, Application of exemption principles to the recycle and reuse of materials from nuclear facilities, 1992 2.2 IAEA RS-G-1.7, Application of the Concepts of Exclusion, Exemption and Clearance 2.3 ISO 11932, Activity measurements of solid materials considered for recycling, reuse or disposal as non-radioactive waste 3. Terms, definitions and symbols 3.1 Clearance level 3.2 Decay 3.3 Medical application 3.4 Waste 3.5 In-vivo and in –vitro 3.6 Radioactive waste 3.7 Storage container 3.8 Unsealed source 3.9 Radio isotopes 3.10 Multi-channel analyzer 3.11 Gamma counter 3.12 Solution 3.13 Detergent 3.14 Calibration factor 4. Fundamentals 4.1 Radioisotopes for in-vivo, in-vitro and research This part introduces the usage, kind and specification of radioisotopes used in the in –vivo, in-vitro and research briefly. 4.2 Classification and characteristics of radioactive waste This part addresses - The characteristics of the radioisotope used in medical application, - Types and characteristics of radioactive waste and - Classification of radioactive waste by types and radioisotopes 4.3 Clearance level This part specifies the clearance level referenced to the IAEA RS-G-1.7 “Application of the concepts of exclusion, exemption and clearance”. 5. Measurement method and procedure This part addresses method of radioactivity measurement and procedure of determining storage timed for the radioactive waste used for the medical purposes in the hospital. Since there are several types, shapes and volumes of the containers used as nuclear medicines in the hospitals, it is not practically possible to measure the activities of the radioisotopes left over in all the containers after use in order to classify as a radioactive waste. Therefore, it is reasonable to select the containers being mostly used and measure the activities of the remaining radioisotopes using the certified reference materials (CRM) disseminated by the national standard laboratory. The radioactive solutions being used mostlyinclude125I, 18F, 32P, 35S, 51Cr, 67Ga, 85Sr, 123I, 124I, 131I, 166Ho and 201Tl. The measurement protocol is as follows; 1) Currently, the container of125I is a small tube and the activity of the remaining solution has been measured using gamma counter. For the measurement of activity of 125I, the same size and shape of125I CRM, specially manufactured by the primary standard institution, will be used. The number of count measurement can be more than five. The specific activity of the sample is given by the following equation. Specific activityA = Then, the time taken from the current magnitude of specific activity to that of the clearance level ACL (usually 100 Bq/g) is obtained from the relation of decay correction ACL = A (1/2)n as n = ln (ACL / A) / ln (0.5). The storage time can be determined as the multiplication of safety factor (1.2) to this time n, i.e. . 2) For the activity measurement of the other radioactive remnants, it can be recommended to use Marinelli beaker type CRM and multichannel analyzer (MCA) with the following procedure. The remaining solution of the several radioisotopes will be collected with the container into the aqueous solution of the other Marinelli beaker whose dimension is same with that of CRM. The bottles containing the remaining radioisotopes will be submerged into the solution and the radioisotopes will be mixed with the solution. Since the radioisotopes are not soluble, the total activity of the remnants in the solution will not change. The reason for submerging the several types of bottles of the radioisotopes into the aqueous solution is because the CRM is a homogenous radioactive material. In order to measure the total activity of the Marinelli beaker containing several kinds of radioisotopes accurately, this beaker should be approximated as homogeneous as it can be and using the aqueous solution is one of the best option to accomplish this purpose. The measurement of the total activity of the Marinelli beaker is analogous to the activity measurement of125I with the difference of using Marinelli beaker type CRM and MCA for the activity measurement. The uncertainty budget is also similar to that of 1). The storage time may also be determined by the same process as in 1). 6. Requirements 6.1 Initial condition This part addresses the initial condition of the radioactive waste to be stored for clearance level in the hospital. The initial condition may contain kind, content, shape, hot spot and residual activity of each types of the radioactive waste. 6.2 Storage of radioactive waste This part addresses the specification of storage container and facility, procedure for storing the radioactive waste, determination of storage periods of the radioactive waste, and sign and marking. 6.3 Disposal method This part addresses statement concerning disposal method of the radioactive waste; confirmation of the condition of the radioactive waste and procedure for disposal. Disposal of the radioactive waste shall be separated for storage or incineration as other ordinary industry waste. 7 Uncertainty The uncertainty budget for the determination of storage period consists of the uncertainty of measuring devices, the uncertainty of count measurement, the uncertainty of used certified reference material(CRM) for the measurement, the efficiency of the detector and the uncertainty of the safety factor. 8 Quality control Quality assurance program of this part may refer to ISO 9001. 9 Documentation and reporting All the information regarding the radioactive waste shall be recorded from generation to final disposal and reported properly. This part addresses the all the items to be recorded and reported including standard format and content of the documents. Annex A. (Informative) Example of the procedure for clearance of radioactive waste 1.0 Purpose The purpose of this annex is to establish and generalize the procedure for the clearance of the radioactive waste from the medical application of the radioisotopes in the hospital by adopting the developed procedure to the clearance of the radioactive wastes generated by some of the radionuclides currently used as nuclear medicines in the Seoul National University Hospital and Korea Cancer Center Hospital. 2.0 Scope of application 2.1 This procedure shall be applied to the following radionuclides appeared in Table 1. -I-125, I-131, Mo-99, Tc-99m, Sr-89, Ga-67, Tl-201 2.2 This procedure shall be applied to the process from the generation of the radioactive waste as a result of the use of radioactive isotope to the stage of clearance. 2.3 The types of the radioactive waste to be released from the regulatory control under this procedure are as follows. - Bead - Coating tube, PPT - Vial (I-125, I-131, Tc-99m, Sr-89, Ga-67, Tl-201, etc.) - Mo-99 column - Syringes - Other contaminated materials 3.0 Definition of terms Definitions of terms used in this procedure are as follows. 3.1 “Collection” refers to collecting waste furnished in the facilities. 3.2 “Collection bag” refers to the bags used for collecting waste in the facilities. 3.3 “Collection container” refers to the containers furnished in the facilities; collection bag is put into the collection container after use. 3.4 “Storage” refers to storing the radioactive waste in a certain facility, which is segregated for the purpose of decaying the radioactivity of the waste until the point of clearance. 4.0 Tasks 4.1 President of hospital He or she shall preside over all the activities related to the process of clearing the radioactive waste and will be responsible for all aspects of management. 4.2 Radiation safety officer a. He or she shall establish, direct, and proctors the plans for the clearance of the radioactive waste, and will report the results of clearance to the President of Hospital. b. He or she shall assure the details related to the clearance of radioactive waste and maintain appropriate records. 5.0 Collection of radioactive waste 5.1 Radioactive waste generated from the use of radioisotope shall be put into collection bags furnished in the facilities at the time of generation. 5.2 A collection bag for the radioactive waste shall be checked for leakage before it is used, and the date of the commencement of its use shall be recorded. 6.0 Methods of collecting waste 6.1 When the radioactive waste is collected, the waste shall be classified by the radionuclides and types. 6.2 When only a small amount of the radioactive waste is generated, the waste can be stored together with the waste of the radionuclides whose storage period is similar while the period is categorized in Table 1. Note that in this case, the longest storage period of the radionuclide shall be applied. 7.0 Collection bag and collection container for radioactive waste 7.1 Collection bag and collection container for the radioactive waste shall be made of substances that are spill-proof or non-corrodible. 7.2 The size of the collection bag shall be large enough to be able to be used for a long time, and the collection container shall be sufficiently large to contain many collection bags. 7.3 The collection container shall not be easily overturned, and shall have a cover so that the container can be closed when it is not in use. 7.4 On a collection bag, a sign such as “Attached Tag 1” shall be affixed and on a collection container a sign such as “Attached Tag 2” shall be affixed. 8.0 Categorization of collection container 8.1 Taking the types of the radioactive wastes into account, an adequate quantity of collection containers shall be furnished in the facilities. 8.2 The code number categorized in Table 1 shall be assigned to the collection containers, and the number shall be marked firmly in order not to be erased easily. 9.0 Storage of collection bag of radioactive waste 9.1 When the bag is filled up with radioactive waste, the opening of the collection bag shall be sealed and the date of sealing, anticipated date of clearance, volume, and surface dose rate shall be recorded on the “Attached Tag 1”after measurement of the total radioactivity of the bag. The tag shall then be attached onto the collection bag. 9.2 The sealed collection bags will be delivered to the waste storage facilities and stored according to the type of radioactive waste. 9.3 Collection bags will be stored according to the order of its generation so that FIFO (first-in, first-out) is possible. 10.0 Clearance of waste 10.1 When the storage period of the radioactive waste designated in Table 2 according to the type of the radioactive waste draws to a close, a plan named “Plan for Clearance of Radioactive Waste” for the radioactive waste subject to be cleared shall be submitted to the President of hospital. If there is no request for supplementing the plan for clearance from the President, the waste can be cleared after one month following the submission of the plan. 10.2 For the clearance, the surface dose rate shall be measured to ensure that the dose rate be less or equal to the level of natural radioactivity. In measuring the dose rate, the caution is required that the detector be not affected by the radioactive waste in the vicinity. 10.3 For the clearance, tags of collection bags shall be removed. 11.0 Records related to clearance Records related to the clearance shall be made using the tag in Table 3 and shall be kept for 5 years from the date of clearance. [Table 1]Methods of assigning codes for each type of radionuclide and waste Code classification of Radionuclide Type of Waste Assorted code number radionuclide I-125 I Vial 1 I-131 E Syringe 2 Mo-99 M Tube 3 Tc-99m T Bead 4 Ga-67 G Column 5 Sr-89 S Cup 6 Tl-201 L Solid waste 7 Example) In case of Sr-89 syringe; S-2 In case of I-125 tube; I-3 [Table 2]Date when clearance is possible by type of nuclide and waste Code classification Nuclide Type of Waste Storage period I-4 I-125 Bead 22 months I-1 I-125 Vial 8 months T-2 Tc-99m Syringe 1 week Remark [Table 3]Form for Record of Clearance Content: vial Bibliography note Attached Tag 2. Sign for collection container Code Number: I-1 Confirmation Surface Dose: (Measurement Date: ) method Volume: Surface dose Anticipated Date: Date Clearance: clearance Surface dose Date of Seal: Date Date of Generation: Volume Content (Types of waste) Radionuclide Source of generation Date of generation Serial number Attached Tag 1. Sign for collection bag Code Classification: I-1-97-001 seal
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