Chelation Model Validation: Modeling of a Plutonium-238 Inhalation Incident Treated with DTPA at Los Alamos National Laboratory

Health Phys. 2023 Feb 1;124(2):113-124. doi: 10.1097/HP.0000000000001647. Epub 2022 Dec 17.

Abstract

Accidental inhalation of plutonium at the workplace is a non-negligible risk, even when rigorous safety standards are in place. The intake and retention of plutonium in the human body may be a source of concern. Thus, if there is a suspicion of a significant intake of plutonium, medical countermeasures such as chelation treatment may be administered to the worker. The present work aimed to interpret the bioassay data of a worker involved in an inhalation incident due to a glovebox breach at Los Alamos National Laboratory's plutonium facility. The worker was treated with intravenous injections of calcium salts of diethylenetriaminepentaacetic acid (DTPA) in an attempt to reduce the amount of plutonium from the body and therefore reduce the internal radiation dose. It is well known in the internal dosimetry field that the administration of chelation treatment poses additional challenges to the dose assessment. Hence, a recently developed chelation model was used for the modeling of the bioassay data. The objectives of this work are to describe the incident, model the chelation-affected and non-affected bioassay data, estimate the plutonium intake, and assess the internal radiation dose.

MeSH terms

  • Chelating Agents / therapeutic use
  • Humans
  • Pentetic Acid
  • Plutonium* / analysis
  • Radiation Injuries* / drug therapy
  • Radiation Injuries* / etiology
  • Radiation Injuries* / prevention & control

Substances

  • Plutonium-238
  • Plutonium
  • Chelating Agents
  • Pentetic Acid