TITLE 32: ENERGY CHAPTER II: ILLINOIS EMERGENCY MANAGEMENT AGENCY AND OFFICE OF HOMELAND SECURITY SUBCHAPTER b: RADIATION PROTECTION PART 335 MEDICAL USE OF RADIOACTIVE MATERIAL The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been permanently adopted. This menu will point out the Sections on which an emergency rule (valid for a maximum of 150 days, usually until replaced by a permanent rulemaking) exists. The emergency rulemaking is linked through the notation that follows the Section heading in the menu. View Entire Part SUBPART A: GENERAL INFORMATION Section 335.10 Purpose and Scope Section 335.15 Incorporations by Reference Section 335.20 Definitions Section 335.30 License Required Section 335.35 Suppliers for Sealed Sources or Devices for Medical Use Section 335.40 License Amendments Section 335.45 Notifications Section 335.50 Written Directives (Repealed) Section 335.60 Provisions for the Protection of Human Research Subjects SUBPART B: GENERAL ADMINISTRATIVE REQUIREMENTS Section 335.1010 ALARA Program (Repealed) Section 335.1020 Radiation Safety Officer (Repealed) Section 335.1030 Radiation Safety Committee (Repealed) Section 335.1040 Authorities and Responsibilities for the Radiation Protection Program Section 335.1050 Supervision Section 335.1060 Authorized User and Visiting Authorized User Section 335.1070 Mobile Nuclear Medicine Service Administrative Requirements (Repealed) Section 335.1080 Report and Notification of a Medical Event Section 335.1090 Materials Authorized for Medical Use (Repealed) Section 335.1100 Report and Notification of a Dose to an Embryo/Fetus or a Nursing Child Section 335.1110 Written Directives Section 335.1120 Procedures for Administrations Requiring a Written Directive SUBPART C: GENERAL TECHNICAL REQUIREMENTS Section 335.2010 Possession, Use and Calibration of Instruments Used to Measure the Activity of Unsealed Radioactive Material Section 335.2020 Possession, Calibration and Check of Survey Instruments (Repealed) Section 335.2030 Assay of Radiopharmaceutical Dosages Section 335.2040 Authorization for Calibration, Transmission, Attenuation Correction and Reference Sources Section 335.2050 Requirements for Possession of Sealed Sources (Repealed) Section 335.2060 Labeling and Use of Vials and Syringes Section 335.2070 Vial Shields and Vial Shield Labels (Repealed) Section 335.2080 Monitoring for Contamination and Ambient Radiation Dose Rate Section 335.2090 Safety Instructions for Patients Not Hospitalized and Containing Therapeutic Doses of Radiopharmaceuticals or Permanent Implants (Repealed) Section 335.2100 Admission of Patients Being Treated with Radiopharmaceuticals or Permanent Implants (Repealed) Section 335.2110 Release of Individuals Containing Unsealed Radioactive Material or Implants Containing Radioactive Material Section 335.2120 Mobile Medical Service Requirements Section 335.2130 Storage of Volatiles and Gases (Repealed) Section 335.2140 Other Medical Uses of Radioactive Material or Radiation from Radioactive Material (Emerging Technologies) Section 335.2150 Additional Technical Requirements for Intravascular Brachytherapy Units SUBPART D: UNSEALED RADIOACTIVE MATERIAL FOR UPTAKE, DILUTION AND EXCRETION STUDIES – WRITTEN DIRECTIVE NOT REQUIRED Section 335.3010 Use of Unsealed Radioactive Material for Uptake, Dilution and Excretion Studies for Which a Written Directive is Not Required SUBPART E: UNSEALED RADIOACTIVE MATERIAL FOR IMAGING AND LOCALIZATION STUDIES FOR WHICH A WRITTEN DIRECTIVE IS NOT REQUIRED Section 335.4010 Use of Unsealed Radioactive Material for Imaging and Localization Studies for Which a Written Directive is Not Required Section 335.4020 Permissible Concentrations of Molybdenum-99, Strontium-82 and Strontium-85 Section 335.4030 Control of Aerosols and Gases (Repealed) SUBPART F: UNSEALED RADIOACTIVE MATERIAL – WRITTEN DIRECTIVE REQUIRED Section 335.5010 Use of Unsealed Radioactive Material for Which a Written Directive is Required Section 335.5020 Safety Instruction Section 335.5030 Safety Precautions SUBPART G: SEALED SOURCES FOR DIAGNOSIS Section 335.6010 Use of Sealed Sources for Diagnosis SUBPART H: MANUAL BRACHYTHERAPY Section 335.7010 Use of Sealed Sources for Brachytherapy Section 335.7020 Safety Instruction Section 335.7030 Safety Precautions Section 335.7040 Accountability and Security of Brachytherapy Sources Section 335.7050 Discharge of Patients Treated With Temporary Implants (Repealed) Section 335.7060 Surveys After Source Implant and Removal Section 335.7070 Calibration Measurements of Brachytherapy Sources Section 335.7080 Decay of Brachytherapy Sources Section 335.7090 Therapy-related Computer Systems for Manual Brachytherapy Section 335.7100 Strontium-90 Sources for Ophthalmic Treatments SUBPART I: REMOTE AFTERLOADER UNITS, TELETHERAPY UNITS AND GAMMA STEREOTACTIC RADIOSURGERY UNITS Section 335.8010 Use of a Sealed Source in Remote Afterloader Units, Teletherapy Units or Gamma Stereotactic Radiosurgery Units Section 335.8020 Installation, Maintenance, Adjustment and Repair Restrictions Section 335.8030 Amendments to Teletherapy Licenses (Repealed) Section 335.8040 Safety Procedures and Instructions for Remote Afterloader Units, Teletherapy Units and Gamma Stereotactic Radiosurgery Units Section 335.8050 Safety Precautions for Remote Afterloader Units, Teletherapy Units and Gamma Stereotactic Radiosurgery Units Section 335.8060 Radiation Monitoring Device for Teletherapy Units and Gamma Stereotactic Radiosurgery Units Section 335.8070 Viewing System for Teletherapy (Repealed) Section 335.8080 Dosimetry Equipment Section 335.8090 Full Calibration Measurements for Teletherapy Section 335.8100 Periodic Spot-Checks for Teletherapy Section 335.8110 Radiation Monitoring Section 335.8120 Safety Checks for Teletherapy Facilities (Repealed) Section 335.8130 Modification of Teletherapy Unit or Room Before Beginning a Treatment Program (Repealed) Section 335.8140 Reports of Teletherapy Monitoring, Checks, Tests and Measurements (Repealed) Section 335.8150 Full-Inspection Servicing for Teletherapy and Gamma Stereotactic Radiosurgery Units Section 335.8160 Full Calibration Measurements on Remote Afterloader Units Section 335.8170 Periodic Spot-Checks for Remote Afterloader Units Section 335.8180 Monitoring of Patients and Human Research Subjects Treated with a Remote Afterloader Unit or Intravascular Brachytherapy Unit Section 335.8190 Full Calibration Measurements on Gamma Stereotactic Radiosurgery Units Section 335.8200 Periodic Spot-Checks for Gamma Stereotactic Radiosurgery Units Section 335.8210 Additional Technical Requirements for Mobile Remote Afterloader Units Section 335.8220 Additional Technical Requirements for Intravascular Brachytherapy Units (Repealed) Section 335.8230 Therapy-related Computer Systems for Remote Afterloader Units, Teletherapy Units and Gamma Stereotactic Units SUBPART J: TRAINING AND EXPERIENCE REQUIREMENTS Section 335.9010 Training for Radiation Safety Officer and Associate Radiation Safety Officer Section 335.9020 Training for Experienced Radiation Safety Officer (Repealed) Section 335.9030 Training for Uptake, Dilution or Excretion Studies Section 335.9040 Training for Imaging and Localization Studies Section 335.9050 Training for Use of Unsealed Radioactive Material for Which a Written Directive is Required Section 335.9060 Training for the Oral Administration of Sodium Iodide I-131 Requiring a Written Directive in Quantities Less Than or Equal to 1.22 GBq (33 mCi) Section 335.9070 Training for the Oral Administration of Sodium Iodide I-131 Requiring a Written Directive in Quantities Greater Than 1.22 GBq (33 mCi) Section 335.9080 Training for the Parenteral Administration of Unsealed Radioactive Material Requiring a Written Directive Section 335.9090 Training for Therapeutic Use of Colloidal Chromic Phosphorus-32 Labeled Phosphate Compound or Gold-198 (Repealed) Section 335.9100 Training for Use of Manual Brachytherapy Sources Section 335.9120 Training for Ophthalmic Use of Strontium-90 Section 335.9130 Training for Use of Sealed Sources for Diagnosis Section 335.9140 Training for Use of Remote Afterloader Units, Teletherapy Units and Gamma Stereotactic Radiosurgery Units Section 335.9150 Training for Authorized Medical Physicist Section 335.9160 Training for Experienced Radiation Safety Officer, Authorized Medical Physicist or Authorized User Section 335.9170 Physician Training in a 3-Month Program (Repealed) Section 335.9180 Recentness of Training Section 335.9190 Resolution of Conflicting Requirements During Transition Period Section 335.APPENDIX A List of Specialty Board Certifications Recognized by the Agency Until October 24, 2007 (Repealed)

AUTHORITY: Implementing and authorized by Section 10 of the Radiation Protection Act of 1990 [420 ILCS 40/10].

SOURCE: Adopted at 15 Ill. Reg. 10763, effective July 15, 1991; emergency amendment at 17 Ill. Reg. 9099, effective June 8, 1993, for a maximum of 150 days; amended at 18 Ill. Reg. 7308, effective May 2, 1994; emergency amendment at 26 Ill. Reg. 4434, effective March 8, 2002, for a maximum of 150 days; amended at 26 Ill. Reg. 10517, effective July 1, 2002; amended at 27 Ill. Reg. 10057, effective June 30, 2003; recodified from the Department of Nuclear Safety to the Illinois Emergency Management Agency at 27 Ill. Reg. 13641; amended at 30 Ill. Reg. 9029, effective April 28, 2006; amended at 32 Ill. Reg. 9247, effective June 13, 2008; amended at 35 Ill. Reg. 884, effective December 30, 2010; amended at 37 Ill. Reg. 12406, effective July 19, 2013; recodified at 45 Ill. Reg. 10286; amended at 46 Ill. Reg. 966, effective December 21, 2021; amended at 48 Ill. Reg. 13672, effective August 29, 2024; Chapter II recodified at 49 Ill. Reg. 2237.