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Management of highly radioactive human cadavers
Hello Radsafers:
Very rarely (fortunately), radionuclide therapy patients may die shortly after
receiving the therapeutic radiopharmaceutical. I've recently been told of a
thyroid cancer patient who went into cardiac arrest and died one day after
receiving 5.5 GBq (150 mCi) Iodine-131 - she was still in hospital in radiation
isolation. I was asked if there are any regulations, guidelines, etc for
managing very "hot" human cadavers - specifically with respect to autopsy,
embalming, burial and cremation.
I have found some references on the topic - NCRP Report no 37 (published 1970)
and IPSM Report No. 63 (UK -published 1991).
Is anyone aware of other useful references in the literature, or in various USA,
UK or European national regulatory guidelines? We don't seem to have anything
in Canada. I'm interested not only in Iodine-131 therapy, but also other
radionuclides / target tissues / administration routes. If you have anything
that might be of interest, please forward title and contact addresses/fax #s to:
Karin Gordon
Radiation Safety Office fax (204) 787-1313
Health Sciences Centre e-mail KGordon@cc.umanitoba.ca
GC-219, 820 Sherbrook St
Winnipeg, Manitoba,
Canada RA 1R9
Thanks in advance
I'm looking for any references