Assessment of Liquid Radioactive Waste and Radiation Risks Generated from Treated Patients with Isotope I-131 In Nuclear Medicine Units to Improve Medical Waste Management
DOI:
https://doi.org/10.22317/jcms.v11i6.1992Keywords:
Radioactive Waste Disposal, Nuclear Medicine Department, Hospital, Radiation Protection, Iodine Radioisotopes, Iodine-131Abstract
Objective: This study aimed to improve the management of liquid radioactive waste generated from Iodine-131 (I-131) therapy in nuclear medicine facilities. The primary objective was to determine the optimal storage duration required to achieve safe activity levels for environmental discharge, while maintaining compliance with international radiological safety standards and enhancing operational efficiency.
Methods: Liquid radioactive waste samples were collected from decay tanks storing effluents of patients administered I-131 with activities ranging between 3.7 and 7.4 GBq. Activity concentrations were measured at successive half-lives using a high-purity germanium (HPGe) detector, and radiation exposure rates were recorded at 1 m from patients at 1, 24, and 48 hours post-administration. Statistical analyses were conducted to assess decay efficiency, dilution effects, and compliance with the International Atomic Energy Agency (IAEA) and European Union (EU) exemption limits.
Results: The findings revealed a substantial reduction in radionuclide activity after five half-lives (approximately 40 days), with all measurements falling below regulatory clearance thresholds. Radiation dose rates from patients decreased significantly, reaching values below the recommended release limit of 35 μSv/h within 48 hours. Combined effects of natural decay and dilution further minimized radiological risk, confirming the effectiveness of the proposed storage period.
Conclusion: This study demonstrates that storing I-131 liquid radioactive waste for five half-lives is sufficient to ensure radiological safety, thereby eliminating the need for the traditional ten half-life period. Adopting this optimized approach enhances waste management efficiency, reduces storage requirements and costs, and maintains full compliance with international radiation protection guidelines.
References
Zhang, X., Gu, P., & Liu, Y. J. C. (2019). Decontamination of radioactive wastewater: State of the art and challenges forward. Chemosphere, 215, 543–553.
Poškas, P., Kilda, R., Šimonis, A., Jouhara, H., & Poškas, R. (2019). Disposal of very low-level radioactive waste: Lithuanian case on the approach and long-term safety aspects. Science of the Total Environment, 667, 464–474.
Y. Ma, H. Chu, and B. Zheng, "Research progress of plasma melting technology in radioactive waste treatment of nuclear power plants," Annals of Nuclear Energy, vol. 198, p. 110307, 2024.
Liquid discharges from patients undergoing I-131 treatments production and management of liquid radioactive wastes as excretas from patients undergoing therapy procedures with 131I radiopharmaceuticals in Spain Journal of Environmental Radioactivity, Volume 99, Issue 10, October 2008.
Evaluation of the Radioactive Waste Management in nuclear medicine department at Royal Care International Hospital By: Nahla Ahmed Khalid Ahmed Supervisor: Dr. Awad Abdalla Adlan .
A. Taş and A. Y. Özer, "Waste disposal and management in radiopharmaceuticals," FABAD Journal of Pharmaceutical Sciences, vol. 45, pp. 91-103, 2020.
S. C. Kheruka, S. Kumari, M. Ora, P. Tandon, and S. Gambhir, "Assessment of radiation exposure and radioactivity from the liquid discharge in a nuclear medicine facility," Indian Journal of Nuclear Medicine, vol. 35, pp. 321-325, 2020.
R. Sunaiwi, M. A. Razab, N. Nawi, A. Khaizul, M. Azhar, N. Samsuddin, et al., "Radioactive decontamination using bamboo activated carbon for healthy environment in nuclear medicine," in IOP Conference Series: Earth and Environmental Science, 2022, p. 012001.
J. S. McCloy, B. J. Riley, M. C. D. Wilkins, J. S. Evarts, J. Bussey, J. D. Vienna, et al., "International perspectives on glass waste form development for low-level and intermediate-level radioactive waste," Materials Today, 2024.
F. Gera, "The classification of radioactive wastes," Health Physics, vol. 27, pp. 113-121, 1974.
Application of the Concepts of Exclusion, Exemption and Clearance, IAEA Safety Standards Series No. RS-G-1.7, IAEA, Vienna (2004).
N. Anisimov, R. Avila, C. Drobnewski, C. Fisher, A. Guskov, D. Hofman, et al., "The International Project on Complementary Safety Reports (2011–2014)," 2022.
IAEA-TECDOC-1183 (2000) Management of radioactive waste from the use of radionuclides medicine. Austria: IAEA.
International atomic energy agency, general safety requirements No. GSR part 3 2003.
International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources, Safety Series No. 115, IAEA, Vienna (1996).
International commission on radiological protection, recommendations of the ICRP, publication 60, Pergamon press, oxford (1991).
International commission on radiological protection, radiological protection in medicine, publication 105, Elsevier, oxford (2008).
Engineering Department, Nuclear Medicine and Engineering Section, Internal Report on Effluent Radioactive Waste Monitoring and Delay Tank Operation, 2025.
R. Ravichandran, L. Arunkumar, R. Sreeram, K. Gorman, and A. Saadi, "Design, function and radiation safety aspects of delay tank system connected to radioactive iodine isolation wards at oncology centre, Oman," J Med Phys, vol. 31, pp. 156-7, 2006.
Germanium detectors user’s manual .9231358b. copyright, Canberra industries 2003.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Contemporary Medical Sciences

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

