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针对前罗克韦尔/原子国际公司辐射工作人员的综合剂量重建方法。

A comprehensive dose reconstruction methodology for former rocketdyne/atomics international radiation workers.

作者信息

Boice John D, Leggett Richard W, Ellis Elizabeth Dupree, Wallace Phillip W, Mumma Michael, Cohen Sarah S, Brill A Bertrand, Chadda Bandana, Boecker Bruce B, Yoder R Craig, Eckerman Keith F

机构信息

International Epidemiology Institute, 1455 Research Blvd., Suite 550, Rockville, MD 20850, and Vanderbilt University Medical School and Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.

出版信息

Health Phys. 2006 May;90(5):409-30. doi: 10.1097/01.HP.0000183763.02247.7e.

Abstract

Incomplete radiation exposure histories, inadequate treatment of internally deposited radionuclides, and failure to account for neutron exposures can be important uncertainties in epidemiologic studies of radiation workers. Organ-specific doses from lifetime occupational exposures and radionuclide intakes were estimated for an epidemiologic study of 5,801 Rocketdyne/Atomics International (AI) radiation workers engaged in nuclear technologies between 1948 and 1999. The entire workforce of 46,970 Rocketdyne/AI employees was identified from 35,042 Kardex work histories cards, 26,136 electronic personnel listings, and 14,189 radiation folders containing individual exposure histories. To obtain prior and subsequent occupational exposure information, the roster of all workers was matched against nationwide dosimetry files from the Department of Energy, the Nuclear Regulatory Commission, the Landauer dosimetry company, the U.S. Army, and the U.S. Air Force. Dosimetry files of other worker studies were also accessed. Computation of organ doses from radionuclide intakes was complicated by the diversity of bioassay data collected over a 40-y period (urine and fecal samples, lung counts, whole-body counts, nasal smears, and wound and incident reports) and the variety of radionuclides with documented intake including isotopes of uranium, plutonium, americium, calcium, cesium, cerium, zirconium, thorium, polonium, promethium, iodine, zinc, strontium, and hydrogen (tritium). Over 30,000 individual bioassay measurements, recorded on 11 different bioassay forms, were abstracted. The bioassay data were evaluated using ICRP biokinetic models recommended in current or upcoming ICRP documents (modified for one inhaled material to reflect site-specific information) to estimate annual doses for 16 organs or tissues taking into account time of exposure, type of radionuclide, and excretion patterns. Detailed internal exposure scenarios were developed and annual internal doses were derived on a case-by-case basis for workers with committed equivalent doses indicated by screening criteria to be greater than 10 mSv to the organ with the highest internal dose. Overall, 5,801 workers were monitored for radiation at Rocketdyne/AI: 5,743 for external exposure and 2,232 for internal intakes of radionuclides; 41,169 workers were not monitored for radiation. The mean cumulative external dose based on Rocketdyne/AI records alone was 10.0 mSv, and the dose distribution was highly skewed with most workers experiencing low cumulative doses and only a few with high doses (maximum 500 mSv). Only 45 workers received greater than 200 mSv while employed at Rocketdyne/AI. However, nearly 32% (or 1,833) of the Rocketdyne/AI workers had been monitored for radiation at other nuclear facilities and incorporation of these doses increased the mean dose to 13.5 mSv (maximum 1,005 mSv) and the number of workers with >200 mSv to 69. For a small number of workers (n=292), lung doses from internal radionuclide intakes were relatively high (mean 106 mSv; maximum 3,560 mSv) and increased the overall population mean dose to 19.0 mSv and the number of workers with lung dose>200 mSv to 109. Nearly 10% of the radiation workers (584) were monitored for neutron exposures (mean 1.2 mSv) at Rocketdyne/AI, and another 2% were monitored for neutron exposures elsewhere. Interestingly, 1,477 workers not monitored for radiation at Rocketdyne/AI (3.6%) were found to have worn dosimeters at other nuclear facilities (mean external dose of 2.6 mSv, maximum 188 mSv). Without considering all sources of occupational exposure, an incorrect characterization of worker exposure would have occurred with the potential to bias epidemiologic results. For these pioneering workers in the nuclear industry, 26.5% of their total occupational dose (collective dose) was received at other facilities both prior to and after employment at Rocketdyne/AI. In addition, a small number of workers monitored for internal radionuclides contributed disproportionately to the number of workers with high lung doses. Although nearly 12% of radiation workers had been monitored for neutron exposures during their career, the cumulative dose levels were small in comparison with other external and internal exposure. Risk estimates based on nuclear worker data must be interpreted cautiously if internally deposited radionuclides and occupational doses received elsewhere are not considered.

摘要

辐射暴露史不完整、体内沉积放射性核素的治疗不充分以及未考虑中子暴露,可能是辐射工作人员流行病学研究中的重要不确定因素。为一项针对1948年至1999年间从事核技术工作的5801名罗克韦尔/原子国际公司(AI)辐射工作人员的流行病学研究,估算了终生职业暴露和放射性核素摄入量导致的器官特异性剂量。从35042张 Kardex 工作履历卡、26136份电子人员名单以及14189份包含个人暴露史的辐射文件夹中,识别出了罗克韦尔/AI公司的全部46970名员工。为获取之前和之后的职业暴露信息,将所有工人的名册与能源部、核管理委员会、Landauer剂量测定公司、美国陆军和美国空军的全国剂量测定文件进行了匹配。还查阅了其他工人研究的剂量测定文件。由于在40年期间收集的生物测定数据(尿液和粪便样本、肺部计数、全身计数、鼻涂片以及伤口和事件报告)具有多样性,且记录摄入情况的放射性核素种类繁多,包括铀、钚、镅、钙、铯、铈、锆、钍、钋、钷、碘、锌、锶和氢(氚)的同位素,因此计算放射性核素摄入量导致的器官剂量变得复杂。从11种不同的生物测定表格中提取了超过30000项个人生物测定测量数据。使用国际辐射防护委员会(ICRP)现行或即将发布的文件中推荐的生物动力学模型(针对一种吸入物质进行了修改,以反映特定场所的信息)对生物测定数据进行评估,以估算16个器官或组织的年剂量,同时考虑暴露时间、放射性核素类型和排泄模式。针对筛选标准表明器官内照射所致待积当量剂量大于10 mSv的工人,制定了详细的内照射情景,并逐例得出年内部剂量。总体而言,罗克韦尔/AI公司对5801名工人进行了辐射监测:5743人监测了外照射,2232人监测了放射性核素的内摄入量;41169名工人未接受辐射监测。仅基于罗克韦尔/AI公司的记录,平均累积外照射剂量为10.0 mSv,剂量分布高度偏态,大多数工人累积剂量较低,只有少数人剂量较高(最高500 mSv)。在罗克韦尔/AI公司工作期间,只有45名工人接受的剂量大于200 mSv。然而,近32%(即1833人)的罗克韦尔/AI公司工人在其他核设施接受过辐射监测,将这些剂量纳入后,平均剂量增加到13.5 mSv(最高达1005 mSv),接受剂量大于200 mSv的工人数量增加到69人。对于少数工人(n = 292),体内放射性核素摄入导致的肺部剂量相对较高(平均106 mSv;最高3560 mSv),这使得总体人群平均剂量增加到19.0 mSv,肺部剂量大于200 mSv的工人数量增加到109人。近10%的辐射工作人员(584人)在罗克韦尔/AI公司接受了中子照射监测(平均1.2 mSv),另有2%在其他地方接受了中子照射监测。有趣的是,在罗克韦尔/AI公司未接受辐射监测的1477名工人(3.6%)被发现在其他核设施佩戴过剂量计(平均外照射剂量为2.6 mSv,最高188 mSv)。如果不考虑所有职业暴露来源,就会对工人暴露情况做出错误的描述,从而有可能使流行病学结果产生偏差。对于这些核工业的先驱工人来说,他们总职业剂量(集体剂量)的26.5%是在罗克韦尔/AI公司工作之前和之后在其他设施接受的。此外,少数接受体内放射性核素监测的工人对肺部高剂量工人的数量贡献不成比例。尽管近12%的辐射工作人员在其职业生涯中接受过中子照射监测,但与其他外照射和内照射相比,累积剂量水平较小。如果不考虑体内沉积的放射性核素和在其他地方接受的职业剂量,基于核工业工人数据的风险估计必须谨慎解读。

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