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Dosimetric biomarkers have been effectively and intensively used for a long time in the area of radiation protection. In contrast to that, no robust standards or widely accepted protocols for application of these end-points in radiotherapy, diagnostic and interventional radiology and nuclear medicine exist to date. The International Atomic Energy Agency (IAEA) organized the review of the available data on the possibilities of the use of dosimetric biomarkers in medical irradiation scenarios. The resultant Technical Report also contains a summary of identified problems, gaps in knowledge, limitations in methodology and recommendations for their overcoming. This work provided a conceptual background for the initiation of a new IAEA Coordinated Research Project E35010, MEDBIODOSE (2017-21), which is aimed specifically at the development and improvement of applications of biodosimetric markers in clinical practice., (© The Author(s) 2019. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)

Progress in the field of ionising radiation (IR) metrology achieved in the BioQuaRT project raised the question to what extent radiobiological investigations would benefit from metrological support of the applied methodologies. A panel of experts from the medical field, fundamental research and radiation protection attended a workshop at Physikalisch-Technische Bundesanstalt to consult on metrology needs related to biological radiation effects. The panel identified a number of metrological needs including the further development of experimental and computational techniques for micro- and nanodosimetry, together with the determination of related fundamental material properties and the establishment of rigorous uncertainty budgets. In addition to this, a call to develop a metrology support for assisting quality assurance of radiobiology experiments was expressed. Conclusions from the workshop were presented at several international conferences for further discussion with the scientific community and stakeholder groups that led to an initiative within the metrology community to establish a European Metrology Network on biological effects of IR., (© The Author(s) 2019. Published by Oxford University Press.)

In its Publication No. 60, the International Commission on Radiological Protection (ICRP) introduced a new quantity, the equivalent dose in tissue, HT = sigma R WR DT.R where DT.R is the absorbed dose averaged over the tissue or organ, T, and WR is the radiation weighting factor. The latter depends on the incident radiation, i.e., the type and energy, but is independent of the tissue. On the other hand, a customarily defined quantity, the 'dose equivalent' is maintained (in particular the operational dose-equivalent quantities introduced in ICRU Report 39), but the relationship between the quality factor Q(L) and the linear energy transfer, L, has been redefined. In the case of neutrons, this procedure gives rise to an increase of the corresponding fluence to dose-equivalent conversion factors. The reasons for introducing these and the new tissue-weighting factor changes are discussed.