RHB@MIT-MC (02/04/83)
From: Robert H. Berman <RHB @ MIT-MC> In 1980, I wondered about x-radiation from a CRT I use at MIT. I compiled the following information at MIT, which I pass on to this list. This is a long message. It contains information about units as well as biological effects. Bob Berman (RHB@MIT-MC) --- This file contains a lot of detailed information about the biological effects of radiation as a partial response to the question I asked about long-term exposure to the low level doses from CRTs. This discussion also supplements the discussion in common;x-ray hnt from HUMAN-NETS last spring (1980) about the workings of CRTs. I went into this detail because it seemed informative to assess the risk and effects of short-term high exposures with what appears to be the unrisky exposures from CRTs. In other words, THE LEVEL OF RADIATION FROM THE CRT'S IS NOT SIGNIFICANTLY DISTINGUISHABLE FROM BACKGROUND RADIATION. What remains uncertain still is whether there is in fact any important time-integrated effect. The consensus of opinion is that, while there may be, it is a statistical effect that has to be detrminable by sampling over a large population of exposed people and that more work needs to be done in this area. The exposures of several TV's is about a factor of 100 under the maximum permitted dose allowed by OSHA (EPA) for people who work a 40 hr week. We invited an engineer from the Radiation Safety office to measure the radiation from our CRTs with his geiger counter. We found for several of the Plasma TV terminals as well as Lisp machine terminals, both in BW and WB modes, no significant radiation above (approximately) .05 mrem/hr (see below for a discussion of the units) and most of the time about .02 mrem/hr. This was measured by placing the geiger counter tube next to the glass of the CRT screen as well as moving it around the cabinet. There is a surface area diminution of the radiation strength the further you get away from it. (It isn't exactly 1/r^2 because of the finite size of the source.) Color TVs produce a somewhat higher radiation dose because the electrons have a larger energy (about 2-3 times larger) and because color TVs produce particles with larger atomic numbers. (There is metal in the TV screen in addition to phosphers.) As several people pointed out, one of the serious health risks of working many hours in front of a CRT is stress, tension, eyestrain, lack of circulation, lack of exercise, etc. On the whole, this may be worse than any radiation damage. A great deal of factual information was obtained for what follows from a standard textbook by J. Lamarsh "Introdunction to Nuclear Engineering" published by Adision-Wesley in 1975. This book was kindly made available to me by JGA@MC ------ Definitions of Radiation Exposure and Dose ------- First, some definitions and units. These units are formulated by the International Commission of Radiation Units and Measurements (ICRU). The term "exposure" denotes gamma and x-radiation incident on a target at any point. Radiation produces ions and electrons in air. Thus, the presence of radiation is measured by the number of ions (electrons) produced in the atmosphere adjacent to a target. Finite size effects of the source, or preferential absortion effects by the target are not The biological effect of radiation is a function of the ionization produced in the target. Thus, exposure X is defined as X = dq/dm, where dq is the total (positive) ion charge produced in air when all the electrons liberated in a volume of air whose mass is dm are completely stopped. The unit of exposure is the Roetgen (R). Thus, by definition, 1R = 2.58 x 10 ^(-4) coul/kg. The biological effect of radiation is also a function of the total energy deposited in the target. The imparted energy is the difference E(in) - E(out) of the kinetic energies of all particles or radiation, less any change in the rest mass of particles within the target. The absorbed dose D is the imparted energy per unit mass of the target. The unit of absorbed dose is the Rad (Radiation Absorbable Dose). By definition, 1 rad = .01 J/kg = 100 ergs/g. The biological effect of radiation is not directly proprotional to the energy deposition because it depends not only on the dose, but also on the way the energy is distributed. Thus, for the same dose, more damage is done by alpha particles, which produce dense tracks of ionization, than by gamma rays which are less heavily ionizing. The fact that radiations of different types and energies give different biological effects can be described by a factor called the Relative Biological Effectivenss (RBE). The ICRU has also introduced a quality factor Q for radiation to summarize the RBE. Thus, for x-rays, Q=1, while for alpha particles, Q=10. The dose equivalent, H, is defined by the ICRU has the product of the absorbed dose and the quality Q. Thus, H = D Q. The idea is that equal dose equivalents should reproduce roughly the same biological effect. Of course, the effect of a dose to the hand is quite different than the same dose to the blood forming organs or gonads. The unit of dose equivalent is the rem. Thus, if the quality factor is unity for some radiation, an absorbed dose of 1 rad gives a dose equivalent of 1 rem. ----- Some Cell Biology ------- Second, some cell biology. There are approximate 10^13 cells per average adult. Cells are broadly divided into two groups -- somatic cells and germ cells. The former make up the bones, liver, blood, etc. The later function only in reproduction. The germs cells are the ones that carry heredity traits (23 chromosomes) that when joined with the germ cells of an opposite sex person make children. The chromosomes are made up of DNA molecules. There are two fundamental mechanisms by which radiation can affect cells. First, radiation may actually break (ionize) molecules. Secondly, radiation may produce new chemicals, such as oxy (O) or hydroxyl (OH) radicals. which interact chemically with cells. The end effect of this depends on which of the molecular structues inside the cell are affected. If, say, one of the several thousand mitocondria in a cell is damaged, there will probably be no overall problem to the cell as a whole. Alternatively, if the radiation disrupts a DNA molecule in a chromosome, the result may be a mutation. If this happens in a somatic cell, no macroscopic effect occurs unless a large number of cells are affected. This is because mutations usally interfere with the production of proteins for the proper functioning of the cell. Accordingly, the mutant cell and its progeny will porbbaly die out rather quickly. If the mutation happens in a germ cell, and if the cell can be fertilized, and if the cell is fertilized, and if it develops, the mutation is carried into the offspring. Another effect is the onset of cancer. Although the detailed mechanism for the orgin of cancer is not known at this time, there is evidence that it is caused by a virus particle that suddenly becomes biologically active. There are other indirect clinical effects of radiation. Consider exposure of the intestines to x-rays. The lining of the intestine is continually renewed by cells from just under the lining surface. Radiation can slow the renewal rate. When the dose is large enough, the surface can not be maintained and it disintegrates. As a consequence, various bodily fluids enter the intestine, while bacteria and toxic material from the intestine can pass into the blood stream. The overal effect on an individual can be diarrhea, dehydration, infection, and blood posioning. ---- Biological Effects at Large Doses ------ Studies about the effects of different levels of radiation doses from World War II and experiments on laboratory animals can be summarized: 1. There is well-documented information on large, short-term doses larger than 10 to 20 rem. 2. There is only limited data showing effects of a) short-term doses up to 10 rem and unrepeated. b) short doses of a few rem and repeated occasionally c) chronic doses on the order of millirems/day. This is this point -- 2c. That is the question I asked about long-time exposure to CRTs. The effects of large short-term doses can summarized in the following table due to S. Glasstone and A Sesonske (1963). Dose (rems) Effect 0-50 No observable effects 50-100 Slight blood changes 100-200 Vomiting within 3 hrs. fatigue, loss of appetite. Recovery in all cases within a few weeks. 200-600 >300, all victims exhibit vomiting within 2 hrs. Severe blood changes with hemorrhage and infection. Loss of hair within 2 weeks. Recovery for 20 to 100 percent from 1 month to 1 yr. 600-1000 Vomiting within 1 hr. severe blood changes, loss of hair. 80 to 100 percent succumb within 2 months. Survivors will be convalescent over a long period. There is also a large body of evidence to demonstrate late effects in persons who received a large short-term dose of radiation. These include cancer (leukemia), cataracts, fertility, mutations, degenertive effects, and life shortening. Both cancer and radiation cataracts appear to be threshold effects. People with doses less than 100 rem appear to be statistically equivalent to the normal population for leukemia. Cataracts do not occur for doses below 200 rem. Fertility, for both male and female can be summarized: Probable Effect on Fertility of Single Doses of Gamma-rays to the Human Sex Organs Dose, rads Probable effect 150 brief sterility 250 sterility 1 to 2 yr 500-600 permanent sterility, many persons 800 permanent sterility, everybody. ---- What Are Small Doses, Background ? ----- Lamarsh asserts that up to 1974, no deleterious effects are observed from doses of radiation of a few millirems/day accumulating up to a few rems a year. The typical hazard due to natural and man-made radiation sources can be summarized: Sources of radiation Source Dose, mrem/yr Cosmic rays 45 Gamma rays 60 Medical + dental 72 x-rays Global fallout 4 The values for cosmic and gamma rays are for New York City. They are approximately twice as high in Denver. The total annual dose with other estimated sources is around 210 mrem. This is theroughly what people mean by "background" radiation. The standards for radiation exposure are set by Environemntal Protection Agency (OSHA) and in other countries by the International Comisssion on Radiation Protection. ----- What are the US government Standards? ------ One problem on setting radiation standards is that while there is no evidence for deleterious effects of radiation at low doses, most reasonable scientists suspect there may be some effect. Therefore, one assumes: 1. there is a linear dose-effect relationship for all radiation effects from high dose levels from hundreds of rads to zero dose. 2. there is no threshold effect for radiation doses. 3. all low doses are completely additive. 4. there is no biological recovery from radiation at low doses. None of these assumptions is strictly correct, but they are a conservative basis for formulating standards. Perhaps, one could formulate other standards if one had more data about low level chronic radiation. The curernt standards for radiation protection were formulated in 1971 and are summarized: Type of exposure Maximum permissiable dose equivalent Occupational Whole Body Prospective annual limit 5 rem retrospecive 10-15 rem long-term to N years 5(N-18) rems of age. Skin 15 rem Hands 75 rem Forarms 30 rem Other Organs 15 rem Fertile women .5 rem when pregnant Occasional Individual .5 rem Students .5 rem Population as a Whole .17 rem Emergency Life-saving Whole Body 100 rems Hands, Forearms 200 rems Less Urgent Whole Body 25 rems Hands, Forearms 100 rems, total It should be noted that 5 rems/yr are equal to 100 mrem/wk. Distributed over a 40-hour week, this is a dose equivalent rate of 2.5 mrem/hr. As described above, we measured the Plasma TV's and a Lisp machine TV with a geiger counter and found exposure rates of about .02 mrem/hr, which is about a factor of 100 under the maximum permissible equivalent dose. Now, while it may not be possible for everyone to get a geiger counter or a dosimeter, one can be assured a little bit about the radiation level not getting out of line. The standards for commerical TVs are on the same order as these CRTs. If you suddenly start produced ten times, say, as energetic electrons because your picture tube is broken, you will almost certain see a marked deterioration in the quality of the image, if there is one at all when the electrons are that energetic..