ML18099A312

Advisory Committee on the Medical Uses of Isotopes (ACMUI) 2018 Recommendations and Actions Chart - April 2018

ML18099A312
Person / Time
Issue date:	04/09/2018
From:	Office of Nuclear Material Safety and Safeguards
To:
Holiday, Sophie
References
Download: ML18099A312 (2)

Text

2018 ACMUI RECOMMENDATIONS AND ACTION ITEMS ITEM DATE STATUS The ACMUI recommended that there be no breast feeding cessation for 11C, 13N, 15O, and 82Rb; a 12-hours cessation for 18 F-labeled and 68Ga-labeled; a 24-hours cessation for 99mTc-labeled; 7-days cessation for 123I-NaI and 111In-leukocytes; 14 1 2/15/2018 NRC Action Open days cessation for 201-Tl-chloride; 28 days cessation for 67Ga and 89Zr; 35 days for 177Lu, diagnostic; and total stop of breastfeeding for 131I-NaI, 177Lu, therapeutic, 223Ra and all alpha emitters.

The ACMUI endorsed the Nursing Mother Guidelines for the Medical Administration of Radioactive Materials Subcommittee Report, as amended to: (1) include recommended cessation ACMUI 2 periods for both 100 and 500 mrem limits; (2) acknowledge 2/15/2018 Open Action benefits of breastfeeding; (3) incorporate corrections as needed for gamma ray constants; (4) convert the units from conventional to SI units; and (5) correct references.

The ACMUI recommended that the AU be physically present during the initiation of all Leksell Gamma Knife Icon treatments.

However, the AU could be present in the department (defined as a two minute walk to the console area) during treatment but 3 2/15/2018 NRC Action Open is immediately available to come to the treatment room. If there is an interruption of treatment secondary to medical or mechanical issues, the AU must return to the console prior to reinitiation.

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2018 ACMUI RECOMMENDATIONS AND ACTION ITEMS The ACMUI recommended as a best practice that appropriately ACMUI 4 trained nursing or auxiliary staff be present at the console to 2/15/2018 Open Action respond to any immediate medical needs.

The ACMUI unanimously endorsed the Physical Presence ACMUI 5 Requirements for the Leksell Gamma Knife Icon Subcommittee 2/15/2018 Open Action Report.

The NRC staff will create an ACMUI Recommendations Web Open 6 page and post the full ACMUI Recommendations and Actions 3/7/2018 NRC Action Indefinitely charts on the ACMUI Web page from 2007 - present The NRC staff will send out a medical list server announcement Open 7 to inform subscribers of the availability of ACMUI and NRC ME 3/7/2018 NRC Action Indefinitely slides each time that they are posted on the Medical Toolkit.

The ACMUI tentatively planned to hold its Fall 2018 Meeting on ACMUI 8 September 20-21, 2018. The back-up dates are September 17- 3/8/2018 Open Action 18, 2018.

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