{"title":"Strengthening expertise and raising public awareness: decades of experience in communicating radiation safety with 'Good Science in Plain Language®', a Canadian perspective.","authors":"T L MacDonald","doi":"10.1177/01466453251412937","DOIUrl":"https://doi.org/10.1177/01466453251412937","url":null,"abstract":"<p><p>The Radiation Safety Institute of Canada, a not-for-profit, non-governmental organisation dedicated to radiation safety, operates a free Workplace Enquiries and Information Service in Radiation Safety. This unique programme aims to prevent unintended radiation exposure and long-term occupational disease caused by radiation exposure, while also raising awareness about ionising and non-ionising radiation safety throughout Canada. Lessons learned from decades of providing 'Good Science in Plain Language<sup>®</sup>' can contribute to prevention efforts of organisations worldwide.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251412937"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and clinical application of targeted alpha therapy using astatine (<sup>211</sup>At).","authors":"T Watabe","doi":"10.1177/01466453251412511","DOIUrl":"https://doi.org/10.1177/01466453251412511","url":null,"abstract":"<p><p>Targeted alpha therapy (TAT) is gaining attention for its superior therapeutic efficacy compared to conventional radionuclide therapy using beta-emitters. Recently, astatine (<sup>211</sup>At) has been garnering attention as an alpha-emitting radionuclide, as it can be produced by irradiating natural bismuth targets with alpha beams using a 30-MeV cyclotron. We are conducting an investigator-initiated clinical trial using [<sup>211</sup>At] NaAt as an iodine analogue for patients with refractory thyroid cancer. Compared to beta-emitters such as <sup>131</sup>I or <sup>177</sup>Lu, the administration dose is small for alpha-emitters. Furthermore, <sup>211</sup>At emits lower-energy gamma rays than beta-emitters, resulting in reduced radiation exposure to the surrounding individuals. We have already conducted investigations and demonstrated that radiation exposure remains far below the limits for the general public and caregivers, even if the patient leaves the radiation-controlled area immediately after the administration of [<sup>211</sup>At] NaAt (Watabe T, et al. Ann Nucl Med. 2021). Therefore, hospitalisation in an isolation ward within the RI-controlled area is not required for targeted alpha therapy using [<sup>211</sup>At] NaAt. Moreover, the imaging capability of <sup>211</sup>At enables precise estimation of the absorbed doses in organs at risk. With the potential for labelling to peptides and antibodies, <sup>211</sup>At is anticipated to be a versatile therapeutic agent for various cancers.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251412511"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cancer among workers.","authors":"D B Richardson","doi":"10.1177/01466453251412544","DOIUrl":"https://doi.org/10.1177/01466453251412544","url":null,"abstract":"<p><p>This article summarises evidence of radiation effects and dose response associations derived from occupational studies based on a presentation delivered at the ICRP 2023 symposium. First, evidence derived from studies of uranium miners is reviewed, and then findings from studies of workers in the nuclear industry are discussed. Uranium miner studies provide strong evidence of excess lung cancer; the exposure-response association for that association appears quite linear and is somewhat steeper when using more contemporary data. Nuclear worker studies provide evidence of a dose-response association with the broader group of solid cancers; pooling of occupational cohorts allows investigators to extend and support these investigations.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251412544"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L Ainsbury, L Vaillant, F Zölzer, O Azimzadeh, C Badie, D Brown, A Francois, N Hamada, S Jacob, C Li, M Sasaki, C Zervides, D Laurier, T Schneider, H Carpenter, H Essop, V Hande, M Kocemba, J Lopes, A Valenti, A Woerner
{"title":"ICRP task group 123: classification of harmful radiation-induced effects on human health for radiological protection purposes.","authors":"L Ainsbury, L Vaillant, F Zölzer, O Azimzadeh, C Badie, D Brown, A Francois, N Hamada, S Jacob, C Li, M Sasaki, C Zervides, D Laurier, T Schneider, H Carpenter, H Essop, V Hande, M Kocemba, J Lopes, A Valenti, A Woerner","doi":"10.1177/01466453251413039","DOIUrl":"https://doi.org/10.1177/01466453251413039","url":null,"abstract":"<p><p>In the current system of radiological protection, radiation effects are classified as either tissue reactions (also known as deterministic effects) or stochastic effects. The objectives of the system are to manage and control exposures to ionising radiation so that harmful tissue reactions are prevented, and the risks of stochastic effects are reduced to the extent reasonably achievable. Thus, the classification of health effects is a very important pillar of the system of radiological protection. In recent years, there has been debate regarding the adequacy of the current scheme for classifying health effects. Recent publications, including those from ICRP, have highlighted the need for a review of the ICRP scheme for health effects classification. This article outlines the basis for the establishment of ICRP Task Group (TG) 123 and the outlined tasks, the key sources of uncertainties for consideration, the agreed approach and timeline to tackle the above tasks, as well as the links with and dependencies on the other ongoing developments to the system being considered by the other ICRP task groups.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251413039"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R Okamoto, O Miyazaki, M Kitamura, R Imai, A Imai, Y Tsutsumi, M Miyasaka, S Nosaka
{"title":"Justification and optimisation of paediatric CT in prefectures around Tokyo.","authors":"R Okamoto, O Miyazaki, M Kitamura, R Imai, A Imai, Y Tsutsumi, M Miyasaka, S Nosaka","doi":"10.1177/01466453251412501","DOIUrl":"https://doi.org/10.1177/01466453251412501","url":null,"abstract":"<p><p>[Background] Although 'justification' and 'optimisation' are recommended as principles for reducing paediatric medical exposure, it is unclear whether these are actually implemented in general hospitals. [Method] Targeting emergency hospitals in the Tokyo area, we conducted a survey on the current status of paediatric acute abdomen, including diagnostic imaging methods used by physicians (<i>n</i> = 169) and exposure doses from CT scans employed by radiology technologists (<i>n</i> = 172). [Results] Fewer than half of physicians were aware of the guidelines for acute appendicitis, and utilisation was very low at 17%. However, ultrasound was the most commonly performed first imaging test at 77%. On the other hand, among technologists, 93% were aware of Japan's diagnostic reference level (DRL), and optimisation was applied at 83% of facilities. Otherwise, there were some facilities that used high-dose settings that exceeded the DRL, indicative of a trend towards a long-tailed distribution. [Discussion] Although awareness of the diagnostic guidelines was low, they were already being justified in general hospitals. As the guidelines become more widely known, the number of CT imaging phases may be further reduced. DRL was widely used and optimised. However, some facilities used high radiation settings, and these cannot be ignored.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251412501"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Consideration of losses and legal issues related to negative radiation rumours in Korea.","authors":"M Baek, E O Han","doi":"10.1177/01466453251413091","DOIUrl":"https://doi.org/10.1177/01466453251413091","url":null,"abstract":"<p><p>Since the Fukushima NPP accident in Japan in 2011, negative rumours about radioactivity and radiation in general have been spreading in Korea for more than 12 consecutive years, causing various social conflicts as well as actual physical losses. Industry stakeholders have suffered significant losses due to the collapse of fisheries, the voluntary short-term closure of schools, denuclearisation policies, road asphalt restoration projects, a bed manufacturing business collapse, the closure of seawater desalination facilities, thyroid cancer lawsuits, etc. The scientific basis for the spread of negative radioactivity rumours in Korea all contain radiological levels far below 100 mSv. This is all related to the interpretation and application of the LNT model. Since the losses due to radiation-related rumours after the Fukushima NPP accident are based on the ICRP recommendations, the relationship between legal effects and losses should be sufficiently addressed to provide criteria for preventing future losses. The use of radiation is related to several fundamental human rights under the Constitution. Therefore, it is necessary to consider whether the ICRP recommendations comprehensively reflect the balance of these constitutional rights.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251413091"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Certification of radiation protection professionals in Australia and New Zealand.","authors":"B Rogers, C Jeffries, K Gregory, T Kron","doi":"10.1177/01466453251412938","DOIUrl":"https://doi.org/10.1177/01466453251412938","url":null,"abstract":"<p><p>There is an increasing awareness of the need for certification of experts in many scientific fields. Given the potential risks, this is particularly relevant in radiation protection, as the general public would find it difficult to identify a suitably qualified expert. This article describes the establishment of the Australasian Radiation Protection Accreditation Board (ARPAB) more than 20 years ago and explores the rationale for recently introducing a second, higher-level competency certification.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251412938"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Estimation of radiation dose to commuters using patient transport from thyrotoxicosis patients treated with I-131 at universitas academic hospital.","authors":"M S Mongane, T J Trinder-Smith, K Gabayo","doi":"10.1177/01466453251411730","DOIUrl":"https://doi.org/10.1177/01466453251411730","url":null,"abstract":"<p><p>The prevailing economic disparity causes patients from various parts of the Free State and Northern Cape Provinces in South Africa and Lesotho to be treated with radioactive I-131 for thyrotoxicosis at Universitas Academic Hospital. Some patients are obliged to travel long distances (4-9 h) using patient transport services after discharge, causing concern for public exposure of nearby passengers due to a public dose limit of 1 mSv year<sup>-1</sup>. The study aimed to estimate the commuters' radiation exposure from 62 thyrotoxicosis patients post-treatment with I-131. An electronic personal dosimeter and ionisation chamber survey meter were used to measure radiation exposure in the isolation room and from the I-131 patients. The results showed that the radiation dose in the room had a mean of 387 ± 185 µSv for 18.6 ± 6.9 h. Furthermore, the exposure rate with a survey meter at 0.3 m had a mean of 217.2 ± 45.8 µSv h<sup>-1</sup> and a mean of 25.4 ± 5.4 µSv h<sup>-1</sup> at 1 m from the patients. The dose to passengers in patient transport could be higher if patients were treated as outpatients and adhering to the release criteria of 25 µSv h<sup>-1</sup> or 555 MBq limit without considering the socioeconomic factors of the patients.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251411730"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A mathematical modelling of Elkind recovery.","authors":"T Wada, Y Manabe, T Kinugawa","doi":"10.1177/01466453251412542","DOIUrl":"https://doi.org/10.1177/01466453251412542","url":null,"abstract":"<p><p>Elkind recovery is investigated from the viewpoint of mathematical modelling. We express the <i>N</i>-target/1-hit model in terms of simultaneous differential equations, where each step corresponds to the cells in which specific targets have been hit. The recovery effects are taken into account in the same manner as the Whack-A-Mole model, which makes dose rate an essential parameter of the model. Using the model, we reproduced the essential features of Elkind recovery, such as the reappearance of the shoulder in the survival curve, the increase of the survival rate with the number of splits, and the increase of the recovery rate with the length of the non-irradiation period.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251412542"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The 2023 Bo Lindell Laureate Lecture: Assessing and managing radiological risk.","authors":"L Vaillant","doi":"10.1177/01466453251411692","DOIUrl":"https://doi.org/10.1177/01466453251411692","url":null,"abstract":"<p><p>At low dose and low dose rate, the system of radiological protection developed by ICRP is based on the linear non-threshold (LNT) relationship between dose and risk. In ICRP <i>Publi</i>c<i>ation 9</i>, the Commission stated 'As the existence of a threshold dose in unknown, it has been assumed that even the smallest doses involve a proportionately small risk of malignancies […]. The Commission is aware that the assumptions of no threshold and of complete additivity of all doses may be incorrect but is satisfied that they are unlikely to lead to the underestimation of risks'. ICRP <i>Publication 26</i> laid down the basis of the current system of radiological protection and established a clear rationale between radiological risk assessment and radiological risk management. The effective dose concept was introduced in ICRP <i>Publication 26</i> along with w<sub>T</sub> based on the relative contribution of organs to radiological detriment. Dose limits values were directly supported by quantitative risk criteria. This rationale is less apparent in ICRP <i>Publication 60</i>, which introduced a somehow less quantitative approach for radiological risk management, based on detriment, tolerability of risk, reasonableness of the optimisation process and acceptable level of risk. Over the last two decades, several scientific results have raised questions related to radiological risk assessment and consequences for risk management. This article investigates some of these questions and potential consequences to be considered for the future of the system of radiological protection.</p>","PeriodicalId":39551,"journal":{"name":"Annals of the ICRP","volume":" ","pages":"1466453251411692"},"PeriodicalIF":0.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}