Development of radiation protection standards.

Radiation protection standards are based on the best available knowledge, caution, and perception. Dose limits for occupational exposure have decreased as knowledge was gained about radiation effects: from 0.6 Sv (60 rem)/year for 1900-1930 to 50 mSv (5 rem)/year in 1958 (the level still used as of 1990). Current dose limits for public exposure range from 1 mSv to 5 mSv, depending on frequency of exposure. For the embryo and fetus, dose limits are 0.5 mSv/mo and 5 mSv for the entire gestation. In the 1970s, the concept of acceptable risk and that of a non-threshold dose-response relationship became the basis for setting dose limits. Three principles of radiation protection are that (a) dose levels should not exceed acceptable levels, (b) optimal dose levels should be as low as reasonably achievable, and (c) radiation should not be used unless it produces a positive net benefit. Although no dose limits have been set for patients undergoing diagnostic and therapeutic radiologic procedures, such measures must provide a net benefit to patients at optimal dose levels.