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Epidemiological Studies of Low-Dose Ionizing Radiation and Cancer: Rationale and Framework for the Monograph and Overview of Eligible Studies

Abstract Whether low-dose ionizing radiation can cause cancer is a critical and long-debated question in radiation protection. Since the Biological Effects of Ionizing Radiation report by the National Academies in 2006, new publications from large, well-powered epidemiological studies of low doses have reported positive dose-response relationships. It has been suggested, however, that biases could explain these findings. We conducted a systematic review of epidemiological studies with mean doses less than 100 mGy published 2006–2017. We required individualized doses and dose-response estimates with confidence intervals. We identified 26 eligible studies (eight environmental, four medical, and 14 occupational), including 91 000 solid cancers and 13 000 leukemias. Mean doses ranged from 0.1 to 82 mGy. The excess relative risk at 100 mGy was positive for 16 of 22 solid cancer studies and 17 of 20 leukemia studies. The aim of this monograph was to systematically review the potential biases in these studies (including dose uncertainty, confounding, and outcome misclassification) and to assess whether the subset of minimally biased studies provides evidence for cancer risks from low-dose radiation. Here, we describe the framework for the systematic bias review and provide an overview of the eligible studies.

Berrington de Gonzalez, Amy↗

NORM in Building Materials: A Case Study in Releasing and Disposing of Building Debris within the DOE System - 18123

In 2013, the Office of Management and Budget issued Memorandum 2013-02, clarifying its 'Freeze the Footprint' policy. Memorandum 2013-02 requires that all federal agencies maintain or reduce their total square footage, within each subsequent year, from a FY2012 baseline. Memorandum 2013-02 also requires that total square footage remain constant with respect to the type/intended use of a building. At Los Alamos National Laboratory (LANL), this means that new construction cannot occur without demolition of equivalent (both in type and square footage) building(s). Since 2013, decommissioning and demolition of aging, unused facilities at LANL has increased. In 2016, the TA16-280 building complex was scheduled for demolition. TA16-280 is a former high explosives (HE) processing facility that consists of six buildings connected to each other via weatherproof walkways. It was constructed in the 1950's and has been subsequently used for HE shipping, receiving, and storage. Interviews with radiation protection staff suggest that some of the buildings within the complex may have been used to store depleted uranium metal parts in a non-dispersible form. It is LANL policy to conduct decommissioning surveys for radioactive materials when building history cannot confirm that a structure is radiologically non-impacted. LANL follows the Multi-Agency Radiation Survey and Assessment of Materials and Equipment (MARSAME) process to develop its surveys and clear structures from radiological control. After clearance, a structure may be dispositioned as non-regulated waste, at a significant cost savings compared to regulated disposition pathways such as low-level waste. MARSAME measurements conducted in the 16-280 complex were elevated compared to reference measurements of surrogate materials, and a majority of the survey units failed to pass indistinguishable from background (IFB), which is LANL's unregulated clearance criteria. Further measurements conducted both in situ and in the laboratory indicated the presence of naturally-occurring thorium in several building materials including: poured concrete, the glaze atop ceramic blast tiles, and the porcelain enamel on the exterior of blast-proof ceiling lamps. Other than naturally-occurring thorium, there were no elevated radionuclide concentrations detected in building materials. It should be noted that there was no history of thorium use in the 16-280 complex, and the material in question was in all cases fixed to and within the building materials in question. Except in certain specific cases, such material is exempt from regulation under the Atomic Energy Act of 1954 [3], as amended, and is therefore exempt from regulation under the Nuclear Regulatory Commission, the Department of Energy, and agreement state regulatory frameworks. Despite this regulatory exemption, disposition of material from the 16-280 complex proved to be challenging, principally because local industrial landfills stipulate 'No radioactive material' in their Waste Acceptance Criteria. This disconnect between what is regulated and what is disposable creates a situation where some DOE sites find it easier to disposition property as Low Level Waste in lieu of pursuing a non-regulated disposition pathway. This presentation will explore the specifics of the 16-280 decommissioning project as well as the implications of the release/disposition disconnect for naturally occurring radioactive material and project planning at LANL. (authors)

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Pacific Northwest National Laboratory Annual Site Environmental Report for Calendar Year 2015

This report provides a synopsis of ongoing environmental management performance and compliance activities conducted during 2015, meeting the requirements DOE Order 231.1B, Admin Chg 1, Environmental, Safety and Health Reporting, and DOE Order 458.1, Radiation Protection of the Public and the Environment. The report addresses the operations occurring on the PNNL Campus in Richland, Washington, and at the PNNL Marine Sciences Laboratory (MSL) in Sequim, Washington. It describes the location and background for each facility; addresses compliance with all applicable DOE, federal, state, and local regulations and site-specific permits; documents environmental monitoring efforts and their status; presents potential radiation doses to staff and the public in the surrounding areas; and describes DOE-required data quality assurance methods used for data verification.

54 ENVIRONMENTAL SCIENCES↗

Expected Waste Streams Originating from the Decommissioning of NPPs: German Situation as Compared to International Standards - 16447

This paper presents an overview of current and future decommissioning projects of NPPs in Germany. The expected amounts of residual radioactive materials are given. Their possible utilization and disposal routes, which are stipulated by the German Radiation Protection Ordinance, are presented and compared to those resulting from the French zoning model. (authors)

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Pacific Northwest National Laboratory Annual Site Environmental Report for Calendar Year 2016

This report provides a synopsis of ongoing environmental management performance and compliance activities conducted during 2016, to meet the requirements of DOE Order 231.1B, Admin Chg 1, Environmental, Safety and Health Reporting, and DOE Order 458.1, Radiation Protection of the Public and the Environment. The report addresses the operations that occur on the PNNL Richland Campus in Richland, Washington, and at the PNNL Marine Sciences Laboratory (MSL) near Sequim, Washington. It describes the location of and background for each facility; addresses compliance with all applicable DOE, federal, state, and local regulations and site-specific permits; documents environmental monitoring efforts and their status; presents potential radiation doses to staff and the public in the surrounding areas; and describes DOE-required data quality assurance methods used for data verification.

54 ENVIRONMENTAL SCIENCES↗

Radioablative therapy with Iodine-131 on a patient with thyroid cancer and chronic renal failure in hemodialysis first experience in Peru

The Iodine-131 (I-131) is a radioisotope used as a standard treatment for radioablation of thyroid remnants. Among thyroid cancer patients, the ones undergoing hemodialysis represent a specific group. The dose of I-131 is given orally to these patients, part of it is absorbed by the thyroid remnants and the rest of it, largely not incorporated, is excreted primarily by renal excretion. The use of a high dose of radioactivity in the process, and the inability of excretion, represents a high risk of exposure to the patient, medical staff and hemodialysis equipment. This work describes the procedure applied on the radioablation therapy for thyroid cancer while receiving hemodialysis, minimizing the risks for the patient and the staff involved. This clinical procedure will establish the dosimetric measures, a plan on radiation protection and a treatment protocol for this specific type of patients.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Applicability of Public Dose Limits to Individuals on the Nevada National Security Site

Historically all persons working on the Nevada National Security Site (NNSS) were considered subject to worker dose limits when calculations of potential dose from the air pathway were conducted to demonstrate compliance with Title 42 United States Code (USC) Chapter 85, “The Clean Air Act,” and Title 40 Code of Federal Regulations (CFR) Part 61, Subpart H, “National Emission Standards for Hazardous Air Pollutants (NESHAP).” Calculations were also conducted for the all-pathways potential dose to demonstrate compliance with U.S. Department of Energy (DOE) Order DOE O 458.1 Chg. 3, “Radiation Protection of the Public and the Environment.” The need to evaluate environmental air sampling locations and past regulator questions about the existence of persons potentially subject to public dose limits being on the NNSS drove this assessment (letter from EPA [U.S. Environmental Protection Agency] Region 9 to DOE/Nevada Operations Office, dated September 3, 1999). This assessment also supports determining those persons subject to public dose limits from the all pathways perspective. A person that is a member of the public is subject to public dose limits.

61 RADIATION PROTECTION AND DOSIMETRY↗

Decommissioning of obsolete Nuclear Facilities in the UJV Rez, a. s. - 19027

UJV Rez, a. s. (further also UJV) is a leading institution in all areas of nuclear R and D in the Czech Republic and has had a dominant position in the nuclear program since it was established in 1955 as the Nuclear Research Institute Rez. The activities of UJV encompass nuclear physics, chemistry, nuclear power and many other topics. The main issues addressed at UJV in past decades have included research, development and services for NPPs, the fuel cycle and irradiation services for research and development in the industrial sector and medicine. UJV also manages most institutional radioactive wastes (RAW) produced in the Czech Republic (approx. 90 %). After more than 60 years of activities of the UJV in the nuclear field, there were obsolete nuclear facilities to be decommissioned. Decommissioning of nuclear facilities UJV is the only ongoing decommissioning project in the Czech Republic. Preparations for decommissioning began in 1996. Safety analysis report (SAR) was performed comprising the identification and characterization of potential sources of risk, potentially exposed receptors and exposure pathways, potential chemical compounds, radionuclides and media of concern. The results of the SAR enabled to determine the priorities of the decommissioning, the decommissioning the expenses and as well as project implementation. The decommissioning project was revised on the base of information obtained during decommissioning. The decommissioning was divided into two phases according to the level of risk and the financing limitations. The Ministry of Finance significantly financially contributed the decommissioning, although the UJV also contributed a considerable amount. Overall cost is close to the amount of Eur 27 million. Decommissioning started in 2003 and will be finished in 2018. Almost all facilities have already been successfully decommissioned. In the following table, the status of decommissioning of facilities is described. 1) Reloading site for RAW storage (Building 211/6): last item in progress 2003 - 2018; 2) Special Sewage System: decommissioned 2004 - 2005, reused; 3) Liquid RAW storage tanks (Building 211/3): decontaminated 2004 - 2013, reused; 4) Technology for RAW treatment (Building 241): decommissioned 2003 - 2011; 5) Contaminated equipment (Building 250): decommissioned 2003 - 2016; 6) Systems for storage of sealed sources (Building 261); decommissioned 2003 - 2005; 7) Decay tanks (Building 211/5); decommissioned 2003 - 2014, reused; 8) Old bituminating unit (Building 211/3); decommissioned 2004 - 2008; 9) Surface RAW storage site; decommissioned 2009 - 2014. Later, other unused decommissioning facilities, which were not included in the decommissioning project financed by the state, were included. These facilities are continuously decommissioned and financed from own resources of UJV. These facilities are like facilities already decommissioned: radiochemical laboratories, (including glove boxes), liquid RW storage tanks (including sewage systems), liquid RW treatment technology, hot cells, accumulated RW, etc. Realization started 2016 and expected duration is till 2026. Estimated budget is approximately Eur 17 million. The decommissioning of nuclear facilities in UJV is being carried out on the high level of radiation protection and up to now there was no extraordinary event or accident, although some challenges we were forced to address. (authors)

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Robust disposal concept, uniform regulations, and trust in the messenger; three fundamental building blocks for consent-based HLW-disposal solutions in the USA - 15104

Pending enabling legislation, the USA's HLW-disposal program had been held in political abeyance since 2009 at the crossroads to one or both of the Yucca Mountain candidate (since 1987) HLW-repository in Nevada and/or the consent-based siting of the new HLW-disposal and centralized HLW-storage facilities proposed in 2012; a road not previously travelled. The consent-based siting approach would require the following gap between the reality (A) and the requirement (B) for public trust, acceptance and sustained support (PASS) to be bridged: A. Less than 1% of the general public in any given country fully comprehends the scientific-underpinnings and the projected health risks imposed by a HLW repository. B. More than 50% of the general public in a given geographical area would have to accept to host it from start to end. The following PASS-building blocks, successfully used at the WIPP-site in New Mexico and abroad to get from A to B during the past 30+ years, are thus highly recommended: 1. Defining the consent footprint upon host-county/state boundaries and/or radiation/health-risks and/or to identify/designate the directly affected parties (DAPs). 2. Using databases and lessons-learned by other repository programs to advantage. 3. Presenting the information in terms and/or by examples more readily understood by laypeople, because both their acceptance and opposition/rejection are influenced by: a. The type, number, problems, and status of 'similar' disposal concepts; and b. The level of i. Radiation protection provided by applicable regulations; ii. Involvement and decision-making authority vested in the DAPs; and iii. Their trust in the 'spokesperson/messenger. (authors)

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Assessment of regulatory support program based on the 10 years joint cooperation between Norway and Russian Federation - 15635

The Norwegian Radiation Protection Authority (NRPA) has been implementing a regulatory support program in the Russian Federation for over 10 years, as part of the Norwegian government's Plan of Action for enhancing nuclear and radiation safety with special focus on nuclear legacy problems in Northwest Russia. During this time there has been cooperation in more than 24 different projects. Significant component of the Plan of Action is to provide support its sister authorities in the Russian Federation, over the years a considerable degree of confidence and mutual trust has been built up among all the relevant organizations, allowing for real progress to be made in meeting protection objectives. The main goal of the regulatory projects is to develop regulatory requirements to ensure protection of personnel, population and environment, during remediation uranium and nuclear legacy sites. Many of the legacy issues originated from the military program. It is therefore vital that the military authority has agreed to be a part of the cooperation program, i.e. Directorate of State Supervision over Nuclear and Radiation Safety of the Ministry of Defense of the Russian Federation. (authors)

61 RADIATION PROTECTION AND DOSIMETRY↗

Fate and transport of contaminants at soils sites - 15512

As part of the Soils Activity of the Environmental Management Operations at the NNSA, Nevada Field Office, radionuclide-contaminated Soils sites will undergo regulatory closure in accordance with the 1996 Nevada Federal Facilities Agreement and Consent Order. One closure alternative that has been evaluated for each Soils site has been -closure-in-place- with fencing and posting, along with administrative controls. However, potential disturbance agents for radionuclide-contaminated soils left in place are possible erosion and transport by wind and water. Previous work with radionuclide-contaminated soils has indicated that the highest activity levels of Pu tend to be found in the fine sands, silts, or clays, which are the most likely particle sizes to be transported by wind re-suspension, and by runoff flow events. Monitoring and sampling stations have been deployed at specific Soils sites to collect meteorological data, airborne particulate filter samples, and both suspended and bed-load sediment transport samples during and after runoff flow events, as needed. The primary objective of the air monitoring and sampling stations is to evaluate whether there is wind transport of radionuclide-contaminated soils from Soils sites. The primary objective of the precipitation and runoff flow data collection, as well as both suspended and bed-load sediment sampling, is to determine during which rainfall events (i.e., precipitation return interval, duration, and intensity) radionuclide-contaminated soils are likely to be transported. The NNSS continues to demonstrate compliance with US DOE Order 458.1 for the Radiation Protection of the Public and the Environment, as reported in annual environmental reports. (authors)

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Model Study and Site Experience of Radiation Physics Analysis for Research Reactor Decommissioning - 18586

The University of Alberta Safe Low Power Kritical Experiment (SLOWPOKE II) nuclear reactor facility (UASF) was commissioned on April 22, 1977. It was designed, built and installed by Atomic Energy of Canada Limited (AECL) and was the fourth SLOWPOKE II research reactor installed at a Canadian university at that time. The reactor was used as a source of neutrons for radionuclide production and elemental analysis via neutron activation analysis, to provide a service to industry, government and to support research and teaching at the University of Alberta. It was licensed to operate at 20 kW, less than the heat produced by a small residential furnace, and work with the reactor was typically performed at one-tenth full power. After nearly four decades of service, the reactor reached the end of its useful life in August 2017 when defueling and the project to decommission the reactor began. Decommissioning of the UASF is a process to dismantle the facility by progressively removing the reactor core and other radioactive components as well as managing the balance of contaminated materials around the reactor in a safe manner. The objective of the project is to release the site from the Canadian Nuclear Safety Commission's (CNSC) regulatory control and return the site to a 'greenfield' status. This paper will discuss the radiation physics analysis that was undertaken to support the decommissioning of the University of Alberta SLOWPOKE II Facility Reactor which took place from July - October 2017. It will address the radiation physics model study, development of the radiation protection (RP) plan, site experience and how the lessons learned from this project can be utilized for best practice on other similar projects. (authors)

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Energetic Light Fragment Production Capability in MCNP6

Monte Carlo Methods, Codes, and Applications group within the Computational Physics Division at Los Alamos National Laboratory has led the development of the transport code MCNP6 (Monte Carlo N-Particle transport code, version 6). MCNP6 is a general-purpose, continuous energy, generalized-geometry, time-dependent, Monte-Carlo radiation-transport code designed to track many particle types over broad ranges of energies. It is used around the world in applications ranging from radiation protection and dosimetry, nuclear-reactor design, nuclear criticality safety, detector design and analysis, decontamination and decommissioning, accelerator applications, medical physics, space research, and beyond. At lower energies, the code uses tables of evaluated nuclear data, while for higher energies (> 150 MeV), MCNP6 uses the cascade-exciton model, version 03.03 (CEM03.03), and the Los Alamos quark-gluon string model, version 03.03 (LAQGSM03.03) to model nuclear reactions. Emission of energetic heavy clusters heavier than {sup 4}He from nuclear reactions play a critical role in several applications, including electronics performance in space, human radiation dosages in space or other extreme radiation environments, proton- and hadron-therapy in medical physics, accelerator and shielding applications, and more. None of the available models are able to accurately predict emission of light fragments (LF) from arbitrary reactions. The CEM and LAQGSM event generators in MCNP6 describe quite well the spectra of fragments with sizes up to {sup 4}He across a broad range of target masses and incident energies (up to ∼ 5 GeV for CEM and up to ∼ 1 TeV/A for LAQGSM). However, they do not predict the high-energy tails of LF spectra heavier than {sup 4}He well. Most LF with energies above several tens of MeV are emitted during the precompound stage of a reaction. The 03.03 versions of CEM and LAQGSM do not account for precompound emission of LF larger than {sup 4}He. The goal of this research is to enable MCNP6 to produce high-energy light fragments. These energetic LF may be emitted by our models through three processes: Fermi breakup, preequilibrium, and coalescence. We explore the emission of light fragments through each of these mechanisms and demonstrate an improved agreement with experimental data achieved by extending precompound models to include emission of fragments heavier than {sup 4}He. (authors)

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Groundwater and Intruder Radionuclide Screening

Solid Waste Management (SWM) operates the E-Area Low-Level Waste Facility (ELLWF) where low level on-site and off-site solid waste streams are buried. The facility has been in operation since late 1994 and is currently projected to remain in operation until 2065. This facility can accommodate a broad range of waste forms resulting from the six different types of disposal unit options (i.e., varying degrees of engineered barriers → trenches to concrete vaults). This facility is currently operating under a Performance Assessment (PA) issued back in 2008, along with several subsequent supporting Special Analyses (SA). The Savannah River National Laboratory (SRNL) developed the prior PAs and SAs and has been tasked to update the facility’s PA. For operating the E-Area facility, a Waste Inventory Tracking System (e.g., WITS) is actively employed by waste generators where every radionuclide entering the facility (to be buried in one of its many disposal units) must be either directly or indirectly accounted for. Since there is a large number of radionuclides in existence (>3,000), the International Commission on Radiological Protection (ICRP-107) has provided guidance on the subset of radionuclides requiring further assessment in landfills such as the E-Area LLWF. The ICRP-107 publication provides critical radiological information on 1,252 radionuclides of 97 elements. This database is the critical starting point for developing a consistent inventory limit system. The explicit measurement and tracking of all radionuclides are not necessary when process knowledge, burial history, and radiological aspects are factored into conservative groundwater and intruder screening processes. Across the DOE complex these screening processes have been historically performed using the methodology suggested by the National Council on Radiation Protection and Measurements (NCRP) as presented in their original report (NCRP 1984) and then refined in a later report (NCRP 1996). In the recommended screening models employed within this report the traditional NCRP models are updated to better handle progeny and better reflect the known characteristics of E-Area. This improved screening process is referred to as the “NCRP-like” method. Various upgrades to the traditional NCRP methodology have been used by others (e.g., NRC funded effort by Kennedy and Strenge 1992). The more detailed models by Kennedy and Strenge (1992) were considered in this effort and are compared to the results from the more traditional NCRP-like models. The groundwater and inadvertent intruder screening analyses presented in this report start with this 1,252 radionuclide list and reduces it down to more manageable lists that are applicable to the various disposal unit types contained within E-Area. In order to reduce this starting list, some level of exposure risk must be considered acceptable. Historically, a dose (or concentration level) has been compared with a screening criterion set to 1% of a performance measure (e.g., a beta-gamma dose not to exceed the 4 mrem/yr beta-gamma performance measure x 0.01 = 0.04 mrem/yr). Thus, if a radionuclide produced a bounding or screening-level dose (or concentrations) less than the screening criterion, it could be safely removed from further consideration. Several tiers of screening and bounding level analyses have been considered in this report.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Groundwater and Intruder Radionuclide Screening

Solid Waste Management (SWM) operates the E-Area Low-Level Waste Facility (ELLWF) where low level on-site and off-site solid waste streams are buried. The facility has been in operation since late 1994 and is currently projected to remain in operation until 2065. This facility can accommodate a broad range of waste forms resulting from the six different types of disposal unit options (i.e., varying degrees of engineered barriers → trenches to concrete vaults). This facility is currently operating under a Performance Assessment (PA) issued back in 2008, along with several subsequent supporting Special Analyses (SA). The Savannah River National Laboratory (SRNL) developed the prior PAs and SAs and has been tasked to update the facility’s PA. For operating the E-Area facility, a Waste Inventory Tracking System (e.g., WITS) is actively employed by waste generators where every radionuclide entering the facility (to be buried in one of its many disposal units1) must be either directly or indirectly accounted for. Since there is a large number of radionuclides in existence (>3,000), the International Commission on Radiological Protection (ICRP-107) has provided guidance on the subset of radionuclides requiring further assessment in landfills such as the E-Area LLWF. The ICRP-107 publication provides critical radiological information on 1,252 radionuclides of 97 elements. This database is the critical starting point for developing a consistent inventory limit system. The explicit measurement and tracking of all 1,252 ICRP-107 radionuclides can be reduced when process knowledge, burial history, and radiological aspects are factored into conservative groundwater and intruder screening processes. Across the DOE complex these screening processes have been historically performed using the methodology suggested by the National Council on Radiation Protection and Measurements (NCRP) as presented in their original report (NCRP 1984) and then refined in a later report (NCRP 1996). In the recommended screening models employed within this report the traditional NCRP models are updated to better handle progeny and better reflect the known characteristics of E-Area. This improved screening process is referred to as the “NCRP-like” method. Various upgrades to the traditional NCRP methodology have been used by others (e.g., NRC funded effort by Kennedy and Strenge 1992). The more detailed models by Kennedy and Strenge (1992) were considered in this effort and are compared to the results from the more traditional NCRP-like models. The groundwater and inadvertent intruder screening analyses presented in this report start with this 1,252 radionuclide list and reduces it down to more manageable lists that are applicable to the various disposal unit types contained within E-Area. In order to reduce this starting list, some level of exposure risk must be considered acceptable. Historically, a dose (or concentration level) has been compared with a screening criterion set to 1% of a performance measure (e.g., a betagamma dose not to exceed the 4 mrem/yr beta-gamma performance measure x 0.01 = 0.04 mrem/yr). Thus, if a radionuclide produced a bounding or screening-level dose (or concentrations) less than the screening criterion, it could be safely removed from further consideration. Several tiers of screening and bounding level analyses have been considered in this report.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Acquired experience resulting from transforming a chemical installation into a nuclear one

ICIT-Valcea has developed an experimental pilot-scale installation for tritium and deuterium separation. The main objective of this pilot was to demonstrate the water detritiation technology and to transfer this technology to the CANDU reactors of the Cernavoda nuclear power plant. The pilot-scale installation was initiated in 1992. The initial design and construction were performed similarly to chemical plants as the separation of isotopes was focused on only hydrogen and deuterium to assess feasibility. In a second phase we have begun to transform it into a nuclear facility with the aim of separating tritium. Moving to tritium separation has imposed a lot of changes. Changes consisted mainly of: -) re-design of the technological systems for nuclear material processing, applying specific codes and standards (ASME, Romanian nuclear specific pressure boundary prescriptions for code classification); -) design and implementation of new systems, classified as safety systems; -) re-design and implementation of command and control systems, complying with the requirements of reliability and maintenance required for the project promoted; -) revaluation of auxiliary systems (utilities, power supply); -) implementing radiation protection systems, including secondary barriers; -) implementing and maintaining environment operational program specific to the new nuclear plant; -) developing and conducting safety analyzes; and -) the production of specific documentation to obtain the necessary permits for construction, commissioning and operation of the plant.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

Improved accuracy of S-value-based dosimetry: a guide to transition from Cristy–Eckerman to ICRP adult phantoms

Background: In 2016, the International Commission on Radiological Protection (ICRP) published the results of Monte Carlo simulations performed using updated and anatomically realistic voxelized phantoms. The resulting specific absorbed fractions are based on more realistic human anatomy than those computed in the stylized, geometrical Cristy–Eckerman (CE) phantom. Despite this development, the ICRP-absorbed fractions have not been widely adopted for radiopharmaceutical dosimetry. To help make the transition, we have established a correspondence between source and target tissues defined in the CE phantom and those defined in the ICRP phantoms. Results: The ICRP phantom has 79 source regions and 43 target regions in comparison with the 23 source and 18 target tissue regions defined in the CE phantom. The ICRP phantom provides tissue regions with greater anatomical detail. Some of this additional detail is focused on radiation protection and dosimetry of inhaled/ingested radioactivity. Some, but not all, of this detail is useful and appropriate for radiopharmaceutical therapy. We have established the correspondence between CE and ICRP phantom source and target regions and attempted to highlight the ICRP source tissues relevant to radiopharmaceutical therapy (RPT). This paper provides tables and figures highlighting the correspondences established. Conclusion: The results provide assistance in transitioning from CE-stylized phantoms to the anatomically accurate voxelized ICRP phantoms. It provides specific guidance for porting the total absorbed activity for regions as defined in the CE phantom to regions within the ICRP phantoms.

61 RADIATION PROTECTION AND DOSIMETRY↗