Global practice

WHO & European standards

The World Health Organization frameworks and European radiation protection standards that parallel the US standards used throughout this app — same science, different regulators, different numbers. Study them side by side without changing what you already know.

Every international framework here rests on the ICRP pillars of justification, optimization, and dose limitation — the same principles behind US ALARA and NRC regulation. What changes across the Atlantic is who enforces the rules and the exact dose limits: the EU sets a 20 mSv/yr occupational limit and a 20 mSv/yr lens limit, and calibrates linacs with IAEA TRS-398 instead of AAPM TG-51.

US vs WHO / European — at a glance

Existing US standards stay unchanged; this is the international equivalent of each

AreaUnited StatesWHO / European
Occupational effective dose50 mSv / yr (5 rem) — NRC 10 CFR Part 2020 mSv / yr — Euratom 2013/59, ICRP 103, IAEA GSR Part 3
Lens of the eye150 mSv / yr (15 rem)20 mSv / yr (ICRP 118 / Euratom BSSD)
Skin / extremities500 mSv / yr (50 rem)500 mSv / yr — same figure in both systems
Dose to embryo/fetus5 mSv (0.5 rem) over gestation once declared1 mSv over the declared pregnancy — Euratom BSSD
General public1 mSv / yr effective1 mSv / yr effective — aligned worldwide
Linac calibration protocolAAPM TG-51IAEA TRS-398 (used across Europe)
Clinical treatment guidelinesNCCNESMO / ESTRO consensus guidelines
Therapist credentialingARRT certification + state licensureNational registers + ESTRO RTT core curriculum
Medical physicist roleQualified medical physicist (AAPM TG reports)Medical Physics Expert (MPE) — Euratom BSSD
Primary regulatorNRC / Agreement StatesNational authorities under the Euratom framework

Both systems are built on the same ICRP principles of justification, optimization, and dose limitation — the numbers and the organizations that enforce them differ.

A global effort to cut unnecessary medical radiation doses and strengthen protection of patients and workers.

WHO launched the Global Initiative on Radiation Safety in Health Care Settings to mobilize the health sector toward safe and effective use of radiation in medicine, folding radiation protection into good medical practice and health-care quality. It works with health authorities, regulators, professional societies, patient networks and UNSCEAR so that every imaging and radiotherapy procedure is justified and optimized — the same two pillars US practice applies through ALARA and prescription standards.

Key points

  • Organized around three work areas: risk assessment, risk management, and risk communication
  • Built on justification (is the exposure appropriate?) and optimization (is the dose as low as achievable for the purpose?)
  • Promotes safety culture, incident reporting and learning systems across countries
  • Directly parallels US ALARA practice — the international framing of the same principle