[ RadSafe ] NRC Issues a Regulatory Issue Summary Regarding Dose Limit for Patient (Find the mistake!!!!)
Boby Mathew
boby_mathew2 at yahoo.com
Wed Apr 2 08:33:09 CDT 2008
Dear All
Please find the mistake in the press release from NRC regarding the Dose Limit for Patient Release Under 10 CFR 35.75. See how they have converted 0.5 mSv to 0.5 rem in one place and 5 mSv to 0.5 rem under the background title. Though i have little radiation safety background, i myself got confused after reading the article. Another example of how we confuse the public and experts.
Boby
UNITED STATES
NUCLEAR REGULATORY COMMISSION
OFFICE OF FEDERAL AND STATE MATERIALS AND ENVIRONMENTAL
MANAGEMENT PROGRAMS
WASHINGTON, D.C. 20555
March 27, 2008
NRC REGULATORY ISSUE SUMMARY 2008-07
DOSE LIMIT FOR PATIENT RELEASE UNDER 10 CFR 35.75
ADDRESSEES
All U.S. Nuclear Regulatory Commission (NRC) medical use licensees and NRC Master
Material Licensees. All Radiation Control Program Directors, and State Liaison Officers.
INTENT
The NRC is issuing this regulatory issue summary (RIS) to inform all addressees that the NRC
intends to pursue rulemaking to clarify the 0.5 millisievert (mSv) (0.5 rem) limit in 10 CFR 35.75
as an annual limit, rather than a per-release limit. This rulemaking is being pursued because
the NRC has determined that the regulation as it is now written does not incorporate the NRC=s
intent in having promulgated this regulation.
BACKGROUND
10 CFR 35.75 (a) provides:
A licensee may authorize the release from its control of any individual who has been
administered unsealed byproduct material or implants containing byproduct material if
the total effective dose equivalent [TEDE] to any other individual from exposure of the
released individual is not likely to exceed 5 mSv (0.5 rem).
The dose-based criterion in 10 CFR 35.75 for release of patients or human research subjects to
whom byproduct material has been administered was established in 1997, when the NRC
amended its regulations to provide for a dose-based rather than activity-based limit for release
of these individuals who have been administered unsealed byproduct material or implants
containing byproduct material (see 62 FR 4124). Licensees have asked whether, in cases in
which an individual is given a series of administrations over time, the dose-to-others criterion
applies to each of the administrations separately, or whether the dose-to others criterion for
release of the individual is an annual dose limit. While the regulatory history of the 1997
addition to 10 CFR Part 35 that established the patient release criteria in '35.75 supports the
intent of an annual dose limit interpretation, the wording of the regulation, which has not been
changed since 1997, is ambiguous.
RIS 2008-07
Page 2 of 3
ML063030572
SUMMARY OF ISSUE
As explained in the Supplementary Information accompanying the final rule (62 FR 4124,
January 29, 1997) the NRC proposed to adopt a new 10 CFR 35.75(a) to change the patient
release criteria from 1,110 megabecquerels (30 millicuries) of activity in a patient, or a dose rate
of 0.05 millisievert (5 millirem) per hour at 1 meter from a patient, to a TEDE not to exceed 5
millisieverts (0.5 rem) in any one year to an individual from exposure to a released patient. The
Supplementary Information states that this release limit was consistent with the
recommendations of the International Commission on Radiological Protection (ICRP) in ICRP
Publication 60, A1990 Recommendations of the International Commission on Radiological
Protection,@ and the National Council on Radiation Protection and Measurements (NCRP) in
NCRP Report Number 116, ALimitation of Exposure to Ionizing Radiation.@ Each of these
recommendations provided a basis for allowing individuals to receive annual doses up to 5
millisieverts (0.5 rem) in a given year in situations when exposure to radiation is not expected to
result in doses above 1 millisievert (0.1 rem) per year for a long period of time, as would be the
case for doses from released patients. Current ICRP and NCRP recommendations on doses to
individuals from exposure to a released patient are still consistent with the above-cited earlier
recommendations from these advisory organizations.
The wording of '35.75, which does not indicate that the dose limit is an annual limit, was based
on the presumption, appropriate at the time the regulation was being developed, that an
individual who received a therapeutic radiopharmaceutical dosage or a therapeutic sealed
source permanent implant and was released under the restrictions of '35.75 was highly unlikely
to receive another treatment and again be released under '35.75 within a year, i.e., to receive
multiple administrations and to undergo multiple releases within a given year. The presumption
that patients receive single administrations of therapeutic doses in a given year, which is the
basis used in developing the wording for the dose limit in '35.75, is no longer valid. Several
licensees have described patient treatment protocols involving multiple therapeutic
administrations, and in some cases multiple patient releases under '35.75, in a given year.
If multiple administrations or applications in a single year are planned, anticipated, or potentially
may be required for an individual, the decision about releasing that individual following each of
the administrations should, in NRC=s view, be based on the cumulative TEDE from all
administrations or applications in a given year not exceeding 5 mSv (0.5 rem) for the maximally
exposed other individual.
The position of the NRC, supported by the recommendations of both national and international
organizations, remains that there should be an annual limit on the dose to other individuals from
the release of an individual under the provisions of 10 CFR 35.75.
Therefore, NRC intends to pursue rulemaking to establish the 0.5 millisievert (mSv) (0.5 rem)
limit in 10 CFR 35.75 as an annual limit. The normal procedures for rulemaking, including
opportunity for public comment, will be followed.
RIS 2008-07
Page 3 of 3
FEDERAL REGISTER NOTIFICATION
A notice of opportunity for public comment on this RIS was not published in the Federal Register
because this RIS is informational and does not represent a departure from current regulatory
requirements.
CONGRESSIONAL REVIEW ACT
In accordance with the Congressional Review Act, the NRC has determined that this RIS is not
a major rule, and the Office of Information and Regulatory Affairs of the Office of Management
and Budget (OMB) has confirmed this determination.
PAPERWORK REDUCTION ACT STATEMENT
This RIS references information collection requirements that are subject to the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501 et seq.). These information collections were approved
by the Office of Management and Budget, approval number 3150-0010.
Public Protection Notification
The NRC may not conduct or sponsor, and a person is not required to respond to, a request for
information collection requirement unless the requesting document displays a currently valid
OMB control number.
CONTACT
This RIS requires no specific action or written response. If you have any questions about this
summary, please contact one of the individuals listed below or the appropriate regional office.
/RA/
Robert Lewis, Director
Division of Materials Safety
and State Agreements
Office of Federal and State Materials
and Environmental Management Programs
Technical Contact: Ronald Zelac, FSME
(301)415-7635
E-mail: rez at nrc.gov
Enclosure:
List of Recently Issued FSME
Generic Communications
RIS 2008-07
Page 3 of 3
FEDERAL REGISTER NOTIFICATION
A notice of opportunity for public comment on this RIS was not published in the Federal Register because this RIS is
informational and does not represent a departure from current regulatory requirements.
CONGRESSIONAL REVIEW ACT
In accordance with the Congressional Review Act, the NRC has determined that this RIS is not a major rule, and the
Office of Information and Regulatory Affairs of the Office of Management and Budget (OMB) has confirmed this
determination.
PAPERWORK REDUCTION ACT STATEMENT
This RIS references information collection requirements that are subject to the Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.). These information collections were approved by the Office of Management and Budget,
approval number 3150-0010.
Public Protection Notification
The NRC may not conduct or sponsor, and a person is not required to respond to, a request for information collection
requirement unless the requesting document displays a currently valid OMB control number
CONTACT
This RIS requires no specific action or written response. If you have any questions about this summary, please
contact one of the individuals listed below or the appropriate regional office.
/RA/
Robert Lewis, Director
Division of Materials Safety
and State Agreements
Office of Federal and State Materials
and Environmental Management Programs
Technical Contact: Ronald Zelac, FSME
(301)415-7635
E-mail: rez at nrc.gov
Enclosure:
List of Recently Issued FSME
Generic Communications
ML063030572
OFC
DMSSA/MSEA
TechEd
DMSSA/MSEA
DMSSA/MSEA DMSSA/MSEA
NAME
RZelac:smh
EKraus FAX
CFlannery
MLO for AMcIntosh SWastler
DATE 10/02/07 10/31/06 10/02/07 12/11/06 10/12/07
OFC OIS OGC OGC DMSSA
NAME TDonnell FCameron TRothschild RLewis
DATE 12/04/07 11/08/07 11/15/07 2/27/08 / /08
OFFICIAL RECORD COPY
RIS 2008-07
Enclosure 1
Page 1 of 1
List of Recently Issued FSME Generic Communications
Date GC No. Subject Addressees
10/04/07 RIS-07-22 Status Update For
Implementation Of NRC
Regulatory Authority for
Certain Naturally-Occurring
and Accelerator-Produced
Radioactive Material
All U.S. Nuclear Regulatory
Commission materials licensees,
radiation control program directors,
State liaison officers, and the
NRCs Advisory Committee on the
Medical Uses of Isotopes.
10/04/07 RIS-07-23 Date For Operation Of
National Source Tracking
System
All licensees authorized to possess
Category 1 or Category 2 quantities
of radioactive materials. All
Radiation Control Program
Directors and State Liaison
Officers.
12/05/07 RIS-07-27 Improving Public
Understanding of the Risks
Associated with Medical
Events
All U.S. Nuclear Regulatory
Commission medical use
licensees. All Radiation Control
Program Directors, and State
Liaison Officers
12/07/07 RIS-07-28 Security Requirements for
Portable Gauges
U.S. Nuclear Regulatory
Commission portable gauge
licensees and Agreement State
Radiation Control Program
Directors and Liaison Officers
12/14/07 RIS-07-38 Ensuring Complete and
Accurate Information iIn the
Documentation of Training
and Experience for
Individuals Seeking Approval
as Medical Authorized Users
All U.S. Nuclear Regulatory
Commission medical use licensees
and NRC master materials
licensees. All Agreement State
Radiation Control Program
Directors and State Liaison Officers
02/01/08 RIS 2008-
02
Actions to Increase the
Security of High Activity
Radioactive Sources
All U.S. Nuclear Regulatory
Commission Materials and Master
Materials Licensees. All Agreement
State Radiation Control Program
Directors and State Liaison
Officers.
Note: This list contains the six most recently issued generic communications. A full listing of
generic communications may be viewed at the NRC public website at the following address:
http://www.nrc.gov/reading-rm/doc-collections/gen-comm/index.html
---------------------------------
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