James A C, Birchall A, Cross F T, Cuddihy R G, Johnson J R
National Radiological Protection Board, Didcot, Oxon, United Kingdom.
Health Phys. 1989;57 Suppl 1:271-81; discussion 281-2. doi: 10.1097/00004032-198907001-00035.
For radiation protection purposes, the International Commission on Radiological Protection (ICRP) Task Group proposes to apportion radiation risk within the respiratory tract according to the tumor mortality rates observed in the different anatomical regions. This approach requires that doses absorbed by extrathoracic tissues must be considered, in addition to those in the lung. For the extrathoracic region, the tissues at highest potential risk are the pharyngeal parts of the nasopharynx and oropharynx and a part of the larynx. In the lung, all tissues are potentially at risk, and it is necessary to consider doses absorbed by bronchial tissues, the lung parenchyma, and lymph nodes. This paper outlines the methods proposed by the Task Group to evaluate the heterogeneous doses absorbed by sensitive cells in these tissues from radioactive decays of alpha-emitters. The objective is to evaluate doses to broad regions of the respiratory tract, where the regions are defined to reflect substantial differences in potential risk when taking into account deposition and clearance behavior. The Task Group proposes to represent the respiratory tract by three generic regions: an extrathoracic region and two thoracic regions, one clearing fast and one slowly. The models of aerosol deposition and clearance applied for each region are outlined. To illustrate the use of the model, doses are evaluated for the key cases of short-lived radionuclides and long-lived insoluble alpha-emitters and are discussed with regard to current ICRP recommendations.
出于辐射防护目的,国际放射防护委员会(ICRP)任务组提议根据在不同解剖区域观察到的肿瘤死亡率在呼吸道内分配辐射风险。这种方法要求除了考虑肺部吸收的剂量外,还必须考虑胸外组织吸收的剂量。对于胸外区域,潜在风险最高的组织是鼻咽和口咽的咽部以及一部分喉部。在肺部,所有组织都有潜在风险,有必要考虑支气管组织、肺实质和淋巴结吸收的剂量。本文概述了任务组提出的评估这些组织中敏感细胞因α发射体放射性衰变而吸收的非均匀剂量的方法。目的是评估呼吸道广泛区域的剂量,这些区域的定义是为了反映在考虑沉积和清除行为时潜在风险的显著差异。任务组提议用三个通用区域来表示呼吸道:一个胸外区域和两个胸部区域,一个清除快,一个清除慢。概述了应用于每个区域的气溶胶沉积和清除模型。为说明该模型的使用,对短寿命放射性核素和长寿命不溶性α发射体的关键情况进行了剂量评估,并根据ICRP当前的建议进行了讨论。