Radiation protection
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination. Ionizing radiation is widely used in industry and medicine, and can present a significant health hazard by causing microscopic damage to living tissue. There are two main categories of ionizing radiation health effects. At high exposures, it can  cause "tissue" effects, also called "deterministic" effects due to the certainty of them happening, conventionally indicated by the unit gray and resulting in acute radiation syndrome. For low level exposures there can be statistically elevated risks of radiation-induced cancer, called "stochastic effects" due to the uncertainty of them happening, conventionally indicated by the unit sievert. Fundamental to radiation protection is the avoidance or reduction of dose using the simple protective measures of time, distance and shielding. The duration of exposure should be limited to that necessary, the distance from the source of radiation should be maximised, and the source  shielded wherever possible. To measure personal dose uptake in occupational or emergency exposure, for external radiation personal dosimeters are used, and for internal dose to due to ingestion of radioactive contamination, bioassay techniques are applied. For radiation protection and dosimetry assessment the International Commission on Radiation Protection (ICRP) and International Commission on Radiation Units and Measurements (ICRU) publish recommendations and data which is used to calculate the biological effects on the human body of certain levels of radiation, and thereby advise acceptable dose uptake limits. Principles. The ICRP recommends, develops and maintains the International System of Radiological Protection, based on  evaluation of the large body of scientific studies available to equate risk to received dose levels. The system's health objectives are "to manage and control exposures to ionising radiation so that deterministic effects are prevented, and the risks of stochastic effects are reduced to the extent reasonably achievable". The ICRP's recommendations flow down to national and regional regulators, which have the opportunity to incorporate them into their own law; this process is shown in the accompanying block diagram. In most countries a national regulatory authority works towards ensuring a secure radiation environment in society by setting dose limitation  requirements that are generally based on the recommendations of the ICRP. Exposure situations. The ICRP recognises planned, emergency, and existing exposure situations, as described below; Regulation of dose uptake. The ICRP uses the following overall principles for all controllable exposure situations. Factors in external dose uptake. There are three factors that control the amount, or dose, of radiation received from a source. Radiation exposure can be managed by a combination of these factors: Internal dose uptake. Internal dose, due to the inhalation or ingestion of radioactive substances, can result in stochastic or deterministic effects, depending on the amount of radioactive  material ingested and other biokinetic factors. The risk from a low level internal source is represented by the dose quantity committed dose, which has the same risk as the same amount of external effective dose. The intake of radioactive material can occur through four pathways: The occupational hazards from airborne radioactive particles in nuclear and radio-chemical applications are greatly reduced by the extensive use of gloveboxes to contain such material. To protect against breathing in radioactive particles in ambient air, respirators with particulate filters are worn. To monitor the concentration of radioactive particles in ambient air, radioactive particulate monitoring  instruments measure the concentration or presence of airborne materials. For ingested radioactive materials in food and drink, specialist laboratory radiometric assay methods are used to measure the concentration of such materials. Recommended limits on dose uptake. The ICRP recommends a number of limits for dose uptake in table 8 of ICRP report 103. These limits are "situational", for planned, emergency and existing situations. Within these situations, limits are given for certain exposed groups; The public information dose chart of the USA Department of Energy, shown here on the right, applies to USA regulation, which is based on ICRP recommendations. Note  that examples in lines 1 to 4 have a scale of dose rate (radiation per unit time), whilst 5 and 6 have a scale of total accumulated dose. ALARP & ALARA. ALARP is an acronym for an important principle in exposure to radiation and other occupational health risks and in the UK stands for ""As Low As Reasonably Practicable"". The aim is to minimize the risk of radioactive exposure or other hazard while keeping in mind that some exposure may be acceptable in order to further the task at hand. The equivalent term ALARA, ""As Low As Reasonably Achievable"", is more  commonly used outside the UK. This compromise is well illustrated in radiology. The application of radiation can aid the patient by providing doctors and other health care professionals with a medical diagnosis, but the exposure of the patient should be reasonably low enough to keep the statistical probability of cancers or sarcomas (stochastic effects) below an acceptable level, and to eliminate deterministic effects (e.g. skin reddening or cataracts). An acceptable level of incidence of stochastic effects is considered to be equal for a worker to the risk in other radiation work generally considered to be safe. This policy is based  on the principle that any amount of radiation exposure, no matter how small, can increase the chance of negative biological effects such as cancer. It is also based on the principle that the probability of the occurrence of negative effects of radiation exposure increases with cumulative lifetime dose. These ideas are combined to form the linear no-threshold model which says that there is not a threshold at which there is an increase in the rate of occurrence of stochastic effects with increasing dose. At the same time, radiology and other practices that involve use of ionizing radiation bring benefits , so reducing radiation exposure can reduce the efficacy of a medical practice. The economic cost, for example of adding a barrier against radiation, must also be considered when applying the ALARP principle. Computed Tomography, better known as C.T. Scans or CAT Scans have made an enormous contribution to medicine, however not without some risk. They use ionizing radiation which can cause cancer, especially in children. When caregivers follow proper indications for their use and child safe techniques rather than adult techniques, downstream cancer can be prevented. Personal radiation dosimeters. The radiation dosimeter is an important personal dose measuring instrument. It  is worn by the person being monitored and is used to estimate the external radiation dose deposited in the individual wearing the device. They are used for gamma, X-ray, beta and other strongly penetrating radiation, but not for weakly penetrating radiation such as alpha particles. Traditionally, film badges were used for long-term monitoring, and quartz fibre dosimeters for short-term monitoring. However, these have been mostly superseded by thermoluminescent dosimetry (TLD) badges and electronic dosimeters. Electronic dosimeters can give an alarm warning if a preset dose threshold has been reached, enabling safer working in potentially higher radiation levels , where the received dose must be continually monitored. Workers exposed to radiation, such as radiographers, nuclear power plant workers, doctors using radiotherapy, those in laboratories using radionuclides, and HAZMAT teams are required to wear dosimeters so a record of occupational exposure can be made. Such devices are generally termed "legal dosimeters" if they have been approved for use in recording personnel dose for regulatory purposes. Dosimeters can be worn to obtain a whole body dose and there are also specialist types that can be worn on the fingers or clipped to headgear, to measure the localised body irradiation for specific  activities. Common types of wearable dosimeters for ionizing radiation include: Radiation shielding. Almost any material can act as a shield from gamma or x-rays if used in sufficient amounts. Different types of ionizing radiation interact in different ways with shielding material. The effectiveness of shielding is dependent on stopping power, which varies with the type and energy of radiation and the shielding material used. Different shielding techniques are therefore used depending on the application and the type and energy of the radiation. Shielding reduces the intensity of radiation, increasing with thickness. This is an exponential relationship with gradually diminishing  effect as equal slices of shielding material are added. A quantity known as the halving-thicknesses is used to calculate this. For example, a practical shield in a fallout shelter with ten halving-thicknesses of packed dirt, which is roughly , reduces gamma rays to 1/1024 of their original intensity (i.e. 2). The effectiveness of a shielding material in general increases with its atomic number, called "Z", except for neutron shielding, which is more readily shielded by the likes of neutron absorbers and moderators such as compounds of boron e.g. boric acid, cadmium, carbon and hydrogen. Graded-"Z" shielding is a laminate  of several materials with different "Z" values (atomic numbers) designed to protect against ionizing radiation. Compared to single-material shielding, the same mass of graded-"Z" shielding has been shown to reduce electron penetration over 60%. It is commonly used in satellite-based particle detectors, offering several benefits: Designs vary, but typically involve a gradient from high-"Z" (usually tantalum) through successively lower-"Z" elements such as tin, steel, and copper, usually ending with aluminium. Sometimes even lighter materials such as polypropylene or boron carbide are used. In a typical graded-"Z" shield, the high-"Z" layer effectively scatters protons and electrons. It also absorbs  gamma rays, which produces X-ray fluorescence. Each subsequent layer absorbs the X-ray fluorescence of the previous material, eventually reducing the energy to a suitable level. Each decrease in energy produces Bremsstrahlung and Auger electrons, which are below the detector's energy threshold. Some designs also include an outer layer of aluminium, which may simply be the skin of the satellite. The effectiveness of a material as a biological shield is related to its cross-section for scattering and absorption, and to a first approximation is proportional to the total mass of material per unit area interposed along the  line of sight between the radiation source and the region to be protected. Hence, shielding strength or "thickness" is conventionally measured in units of g/cm. The radiation that manages to get through falls exponentially with the thickness of the shield. In x-ray facilities, walls surrounding the room with the x-ray generator may contain lead shielding such as lead sheets, or the plaster may contain barium sulfate. Operators view the target through a leaded glass screen, or if they must remain in the same room as the target, wear lead aprons. Particle radiation. Particle radiation consists of a  stream of charged or neutral particles, both charged ions and subatomic elementary particles. This includes solar wind, cosmic radiation, and neutron flux in nuclear reactors. Electromagnetic radiation. Electromagnetic radiation consists of emissions of electromagnetic waves, the properties of which depend on the wavelength. In some cases, improper shielding can actually make the situation worse, when the radiation interacts with the shielding material and creates secondary radiation that absorbs in the organisms more readily. For example, although high atomic number materials are very effective in shielding photons, using them to shield beta particles may cause higher radiation exposure due to the  production of Bremsstrahlung x-rays, and hence low atomic number materials are recommended. Also, using a material with a high neutron activation cross section to shield neutrons will result in the shielding material itself becoming radioactive and hence more dangerous than if it were not present. Personal Protective Equipment (PPE)—Radiation. Personal Protection Equipment (PPE) includes all clothing and accessories which can be worn to prevent severe illness and injury as a result of exposure to radioactive material. These include an SR100 (protection for 1hr), SR200 (protection for 2 hours). Because radiation can affect humans through internal and external contamination, various  protection strategies have been developed to protect humans from the harmful effects of radiation exposure from a spectrum of sources. A few of these strategies developed to shield from internal, external, and high energy radiation are outlined below. Internal Contamination Protective Equipment. Internal contamination protection equipment protects against the inhalation and ingestion of radioactive material. Internal deposition of radioactive material result in direct exposure of radiation to organs and tissues inside the body. The respiratory protective equipment described below are designed to minimize the possibility of such material being inhaled or ingested as emergency workers are exposed to potentially radioactive  environments. Reusable Air Purifying Respirators (APR) Powered Air-Purifying Respirator (PAPR) Supplied-Air Respirator (SAR) Auxiliary Escape Respirator Self Contained Breathing Apparatus (SCBA) External Contamination Protective Equipment. External contamination protection equipment provides a barrier to shield radioactive material from being deposited externally on the body or clothes. The dermal protective equipment described below acts as a barrier to block radioactive material from physically touching the skin, but does not protect against externally penetrating high energy radiation. Chemical-Resistant Inner Suit Level C Equivalent: Bunker Gear Level B Equivalent—Non-gas-tight Encapsulating Suit Level A Equivalent—Totally Encapsulating Chemical- and  Vapour-Protective Suit External penetrating radiation. There are many solutions to shielding against low-energy radiation exposure like low-energy X-rays. Lead shielding wear such as lead aprons can protect patients and clinicians from the potentially harmful radiation effects of day-to-day medical examinations. It is quite feasible to protect large surface areas of the body from radiation in the lower-energy spectrum because very little shielding material is required to provide the necessary protection. Recent studies show that copper shielding is far more effective than lead and is likely to replace it as the standard material for  radiation shielding. Personal shielding against more energetic radiation such as gamma radiation is very difficult to achieve as the large mass of shielding material required to properly protect the entire body would make functional movement nearly impossible. For this, partial body shielding of radio-sensitive internal organs is the most viable protection strategy. The immediate danger of intense exposure to high-energy gamma radiation is Acute Radiation Syndrome (ARS), a result of irreversible bone marrow damage. The concept of selective shielding is based in the regenerative potential of the hematopoietic stem cells found in bone marrow. The regenerative quality of  stem cells make it only necessary to protect enough bone marrow to repopulate the body with unaffected stem cells after the exposure: a similar concept which is applied in hematopoietic stem cell transplantation (HSCT), which is a common treatment for patients suffering from leukemia. This scientific advancement allows for the development of a new class of relatively lightweight protective equipment that shields high concentrations of bone marrow to defer the hematopoietic sub-syndrome of Acute Radiation Syndrome to much higher dosages. One technique is to apply selective shielding to protect the high concentration of bone marrow stored in the hips  and other radio-sensitive organs in the abdominal area. This allows first responders a safe way to perform necessary missions in radioactive environments. Radiation protection instruments. Practical radiation measurement using calibrated radiation protection instruments is essential in evaluating the effectiveness of protection measures, and in assessing the radiation dose likely to be received by individuals. The measuring instruments for radiation protection are both "installed" (in a fixed position) and portable (hand-held or transportable). Installed instruments. Installed instruments are fixed in positions which are known to be important in assessing the general radiation hazard in an area. Examples are installed  area radiation monitors, Gamma interlock monitors, personnel exit monitors, and airborne particulate monitors. The area radiation monitor will measure the ambient radiation, usually X-Ray, Gamma or neutrons; these are radiations that can have significant radiation levels over a range in excess of tens of metres from their source, and thereby cover a wide area. Gamma radiation "interlock monitors" are used in applications to prevent inadvertent exposure of workers to an excess dose by preventing personnel access to an area when a high radiation level is present. These interlock the process access directly. Airborne contamination monitors measure the concentration of  radioactive particles in the ambient air to guard against radioactive particles being ingested, or deposited in the lungs of personnel. These instruments will normally give a local alarm, but are often connected to an integrated safety system so that areas of plant can be evacuated and personnel are prevented from entering an air of high airborne contamination. Personnel exit monitors (PEM) are used to monitor workers who are exiting a "contamination controlled" or potentially contaminated area. These can be in the form of hand monitors, clothing frisk probes, or whole body monitors. These monitor the surface of the workers body  and clothing to check if any radioactive contamination has been deposited. These generally measure alpha or beta or gamma, or combinations of these. The UK National Physical Laboratory publishes a good practice guide through its Ionising Radiation Metrology Forum concerning the provision of such equipment and the methodology of calculating the alarm levels to be used. Portable instruments. Portable instruments are hand-held or transportable. The hand-held instrument is generally used as a survey meter to check an object or person in detail, or assess an area where no installed instrumentation exists. They can also be used for personnel  exit monitoring or personnel contamination checks in the field. These generally measure alpha, beta or gamma, or combinations of these. Transportable instruments are generally instruments that would have been permanently installed, but are temporarily placed in an area to provide continuous monitoring where it is likely there will be a hazard. Such instruments are often installed on trolleys to allow easy deployment, and are associated with temporary operational situations. In the United Kingdom the HSE has issued a user guidance note on selecting the correct radiation measurement instrument for the application concerned. This covers all radiation instrument technologies, and is  a useful comparative guide. Instrument types. A number of commonly used detection instrument types are listed below, and are used for both fixed and survey monitoring. The links should be followed for a fuller description of each. Radiation related quantities. The following table shows the main radiation-related quantities and units. Spacecraft radiation challenges. Spacecraft, both robotic and crewed, must cope with the high radiation environment of outer space. Radiation emitted by the Sun and other galactic sources, and trapped in radiation "belts" is more dangerous and hundreds of times more intense than radiation sources such as medical X-rays  or normal cosmic radiation usually experienced on Earth. When the intensely ionizing particles found in space strike human tissue, it can result in cell damage and may eventually lead to cancer. The usual method for radiation protection is material shielding by spacecraft and equipment structures (usually aluminium), possibly augmented by polyethylene in human spaceflight where the main concern is high-energy protons and cosmic ray ions. On uncrewed spacecraft in high-electron-dose environments such as Jupiter missions, or medium Earth orbit (MEO), additional shielding with materials of a high atomic number can be effective. On long-duration crewed missions , advantage can be taken of the good shielding characteristics of liquid hydrogen fuel and water. The NASA Space Radiation Laboratory makes use of a particle accelerator that produces beams of protons or heavy ions. These ions are typical of those accelerated in cosmic sources and by the Sun. The beams of ions move through a 100 m (328-foot) transport tunnel to the 37 m (400-square-foot) shielded target hall. There, they hit the target, which may be a biological sample or shielding material. In a 2002 NASA study, it was determined that materials that have high hydrogen contents , such as polyethylene, can reduce primary and secondary radiation to a greater extent than metals, such as aluminum. The problem with this "passive shielding" method is that radiation interactions in the material generate secondary radiation. Active Shielding, that is, using magnets, high voltages, or artificial magnetospheres to slow down or deflect radiation, has been considered to potentially combat radiation in a feasible way. So far, the cost of equipment, power and weight of active shielding equipment outweigh their benefits. For example, active radiation equipment would need a habitable volume size to house it, and magnetic and electrostatic configurations often are  not homogenous in intensity, allowing high-energy particles to penetrate the magnetic and electric fields from low-intensity parts, like cusps in dipolar magnetic field of Earth. As of 2012, NASA is undergoing research in superconducting magnetic architecture for potential active shielding applications. Early radiation dangers. The dangers of radioactivity and radiation were not immediately recognized. The discovery of x‑rays in 1895 led to widespread experimentation by scientists, physicians, and inventors. Many people began recounting stories of burns, hair loss and worse in technical journals as early as 1896. In February of that year, Professor Daniel and Dr. Dudley of  Vanderbilt University performed an experiment involving x-raying Dudley's head that resulted in his hair loss. A report by Dr. H.D. Hawks, a graduate of Columbia College, of his suffering severe hand and chest burns in an x-ray demonstration, was the first of many other reports in "Electrical Review". Many experimenters including Elihu Thomson at Thomas Edison's lab, William J. Morton, and Nikola Tesla also reported burns. Elihu Thomson deliberately exposed a finger to an x-ray tube over a period of time and suffered pain, swelling, and blistering. Other effects, including ultraviolet rays and ozone were  sometimes blamed for the damage. Many physicists claimed that there were no effects from x-ray exposure at all. As early as 1902 William Herbert Rollins wrote almost despairingly that his warnings about the dangers involved in careless use of x-rays was not being heeded, either by industry or by his colleagues. By this time Rollins had proved that x-rays could kill experimental animals, could cause a pregnant guinea pig to abort, and that they could kill a fetus. He also stressed that "animals vary in susceptibility to the external action of X-light" and warned that these  differences be considered when patients were treated by means of x-rays. Before the biological effects of radiation were known, many physicists and corporations began marketing radioactive substances as patent medicine in the form of glow-in-the-dark pigments. Examples were radium enema treatments, and radium-containing waters to be drunk as tonics. Marie Curie protested against this sort of treatment, warning that the effects of radiation on the human body were not well understood. Curie later died from aplastic anaemia, likely caused by exposure to ionizing radiation. By the 1930s, after a number of cases of bone necrosis  and death of radium treatment enthusiasts, radium-containing medicinal products had been largely removed from the market (radioactive quackery).