Evaluation of Reference Urinary Excretion Concentrations of Selected Radionuclides Corresponding to Clinical Decision Guides for Application in Radiological and in Nuclear Emergencies

Abstract

Radiological or nuclear emergency situations could lead to incorporation of radionuclides by the population. Intakes of radionuclides can be evaluated through measurements of radionuclides present in organs and tissues, or in urinary and/or fecal excretion. In an emergency situation involving a large number of people, the decision to provide medical treatment to an individual will likely be based on a single measurement. For that purpose, the National Council on Radiation Protection and Measurements (NCRP) has presented the Clinical Decision Guide (CDG) quantity, which corresponds to an intake amount of a radionuclide by an individual for which treatment is recommended. However, the NCRP recommends using one-fifth of the CDG for pregnant women and children which could result in an effective or equivalent dose in excess of the dose constraint. Tables of reference urinary excretion concentrations which are associated with an intake of one CDG for inhalation and ingestion intake scenarios of several forms of 60Co, 90Sr, 137Cs, 192Ir, 238Pu, 239Pu and 241Am have been calculated and are presented for the following categories of members of the public: 3 months old, 1 y, 5 y, 10 y, 15 y, adult and pregnant woman.