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External and Internal Radiation Exposures

There are two potential primary exposure types connected with work involving radioisotopes: external and internal exposure to radiation. Each must be carefully evaluated prior to working with radioactive materials, and precautions must be taken to prevent these exposures.

External Radiation Exposure
External hazards arise when radiation from a source external to the body penetrates the body and causes a dose of ionizing radiation. These exposures can be from gamma or x-rays, neutrons, alpha particles or beta particles; they are dependent upon both the type and energy of the radiation.

Most beta particles do not normally penetrate beyond the skin, but when sufficiently intense, can cause skin and/or eye damage. Very energetic beta particles, such as those emitted by 32P, can penetrate several millimeters into the skin. Shielding is needed in order to reduce the external radiation exposure. Typically, a maximum of 1/2 inch thick sheet of Plexiglas is an effective shield for most beta particles.

Alpha particles, because of higher mass, slower velocity, and greater electrical charge compared to beta particles, are capable of traveling a few inches in air and rarely penetrate the outer dead skin layer of the body. Therefore, alpha particles typically are not an external radiation hazard.

X and gamma rays, along with neutron radiation, are very penetrating, and are of primary importance when evaluating external radiation exposure and usually must be shielded. The onset of first observable effects of acute radiation exposure, diminished red blood cell count, may occur at a dose of approximately 100 rads of acute whole body radiation exposure. The LD50 for humans (lethal dose where 50% of the exposed population may die from a one time exposure of the whole body) is about 500 rads, assuming no medical intervention.

Exposure to external radiation may be controlled by limiting the working time in the radiation field, working at a distance from the source of radiation, inserting shielding between the worker and the source, and by using no more radioactive material than necessary.

Internal Radiation Exposure
Radioactive materials may be internally deposited in the body when an uptake occurs through one of the three routes of entry: inhalation, ingestion and skin contact. These exposures can occur when radioactive material is airborne; is inhaled and absorbed by the lungs and deposited in the body; is present in contaminated food, drink or other consumable items and is ingested; or is spilled or aerosolizes onto the skin and absorbed or enters through cuts or scratches. Internal deposition may also result from contaminated hands, with subsequent eating or rubbing of eyes.

Internal exposures arise when radiation is emitted from radioactive materials present within the body. Although external hazards are primarily caused by x-rays, gamma rays, high energy betas and neutrons, all forms of radiation (including low energy betas, gammas and alphas) can cause internal radiation exposures. Alpha particles create a high concentration of ions along their path, and can cause severe damage to internal organs and tissues when they are inhaled, ingested or are present on the skin. Once these particles get into the body, damage can occur since there is no protective dead skin layer to shield the organs and tissues. Internal exposures are not limited to the intake of large amounts at one time (acute exposure). Chronic exposure may arise from an accumulation of small amounts of radioactive materials over a long period of time.

It is known that many substances taken into the body will accumulate in certain body organs, called target organs. For example, iodine will accumulate in the thyroid gland. When iodine is inhaled or ingested, the body cannot distinguish stable iodine from radioactive iodine; a significant portion of the inhaled iodine will be deposited in the thyroid gland within 24 hours.

Other elements, such as calcium, strontium, radium and plutonium accumulate in the bones. Here, high doses to bones can occur over very long periods of time, since the body eliminates these materials very slowly once they are incorporated into the bone structure. The blood forming organs, such as the bone marrow, are very radiosensitive, since bone marrow cells are in the S-phase of mitotic activity more often than other cells. Hence, if there is a significant long-term exposure to radioisotopes, chronic diseases such as leukemia and/or osteosarcoma can occur. The induction time for the onset of these types of diseases is typically in excess of 20 years.

A rule of thumb used to assist in biological risk assessment for radiation is the Law of Bergonie and Tribondeau. It states that most mature cells are radioresistant; all immature cells are very radiosensitive. It is very important for radioactive materials users to be aware of the target organs for the nuclides they handle. Precautions may then be taken to prevent exposures.

Laws and Regulations Concerning Radiation

Radiation Safety Manual Table of Contents

 

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