A Prototype Interactive Risk and Dose Calculator (IRAD)
for Exposure to I-131 in the Oak Ridge Region

 


IRAD Version 1.2


The current version of the Interactive Risk and Dose Calculator (IRAD v.1.2) is a prototype web-based computer code developed to estimate dose and risk for an individual exposed to I-131 in the Oak Ridge Region due to releases from the production of radioactive lanthanum (1944-1956) at the X-10 facility (now known as Oak Ridge National Laboratory), and from fallout from atmospheric weapons testing at the Nevada Test Site (1952-1957).

The exposure to both sources of I-131 are combined using Monte Carlo simulation (median Latin Hypercube sampling) to propagate uncertainties in all model inputs, from the concentration of I-131 in milk to the estimate of the absorbed dose in the thyroid gland. The potential health effect from exposure is calculated as the excess lifetime risk of thyroid cancer, and the excess relative risk above the background incidence of thyroid cancer.

For individuals with a diagnosed thyroid neoplasm, IRAD will estimate the probability that their disease was caused by their exposure to I-131 from the Oak Ridge Region (Probability of Causation).

Uncertainty in the calculated result is expressed as a 95% subjective confidence interval. This interval provides a region of high confidence within which the true, but unknown, value should occur. The term "subjective confidence interval" is emphasized because professional judgment is used to determine the state of knowledge for model inputs based on direct and indirect evidence.

This prototype calculator estimates doses and risks for a subset (25 locations) of the 41 locations considered in Task 1 of the Oak Ridge Dose Reconstruction (Apostoaei et al., 1999). The intent is to expand this prototype model to include all locations within 38 km of the X-10 facility.

In this present version, the doses and risks estimated by IRAD are specific for the milk ingestion pathway only. Milk is the predominant pathway of exposure to I-131 for individuals consuming 2 or more 8 oz. glasses per day. The types of milk considered by this program are regionally mixed commercial milk (dairy cows), commercial milk obtained from a local dairy, milk obtained from a family owned (backyard) cow, and milk obtained from a backyard goat. Future versions of IRAD will include exposure due to inhalation, cottage cheese, eggs, leafy vegetables, and fresh meat.

The current version of IRAD uses estimates of I-131 in milk as the source term to the calculation of dose and risk. The information on milk concentrations of I-131 comes from the Oak Ridge Dose Reconstruction Study (Apostoaei et al., 1999) and from the National Cancer Institute Fallout Study (1997).

Future versions of this program will use estimates of I-131 deposition due to all significant sources released from the X-10 facility and all significant sources of fallout from atmospheric weapons testing (including NTS, Pacific tests, and tests in the former USSR). Thus, a single model is used to account for the transport of I-131 from vegetation to milk to the thyroid gland of an individual from several independent sources.

The estimates of thyroid dose as a function of age, gender, and amount of I-131 ingested is calculated using the methodology documented in Apostoaei et al. (1999). The calculation of the risk per unit dose uses: (1) the thyroid cancer incidence rates obtained from the cancer registry (Tennessee Department of Health) and (2) data from Land et al. (2000).

This prototype is for demonstration purposes only and the user should be aware that frequent revisions and updates are anticipated. For more information, please contact Oak Ridge Center for Risk Analysis, Inc.


REFERENCES

Apostoaei, A.I., Burns, R.E., Hoffman, F.O., Ijaz, T., Lewis, C.J., Nair, S.K., Widner, T.E. 1999.
Iodine-131 Releases from Radioactive Lanthanum Processing at the X-10 Site in Oak Ridge,
Tennessee (1944-1956)--An Assessment of Quantities Released, Off-site Radiation Doses, and
Potential Excess Risks of Thyroid Cancer. Tennessee Department of Health, Reports of the Oak
Ridge Dose Reconstruction
, Vols. 1 and 1A, The Report of Project Task 1.

Land, C., Gilbert, E., Smith, J., Hoffman, F.O., Apostoaei, I.A., Thomas, B.A. 2003.
Report of the NCI-CDC Working Group to Revise the 1985 NIH Radioepidemiological Tables.

NCI (National Cancer Institute). 1997. Estimated Exposures and Thyroid Doses Received by the
American People from Iodine-131 in Fallout Following Nevada Atmospheric Nuclear Bomb
Tests.
A Report from the National Cancer Institute. U.S. Department of Health and Human
Services, Bethesda, MD.

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