Radiation safety in nuclear medicine : a practical guide /

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Radiation safety manual.

Cover title.

Cornell University radiation safety regulations and procedures.

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Radiation safety regulations and procedures, October 1963.

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Title 41, Pt. 50-204, Section II. Radiation safety and health standards for Federal supply contracts, under the Walsh-Healey Public Contracts Act.

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Radiographers and radiation protection: education, training and CPD

The increasing use of ionizing radiation for medical purposes emphasizes the concern about safety and justification of using ionizing radiation. This is linked with the use of new and high-dose X-ray technology (particularly CT). According to the UNSCEAR 2010 Report the total number of diagnostic medical examinations (both medical and dental) is estimated to have risen from 2.4 billion (period 1991–1996) to 3.6 billion (period 1997– 2008) - a marked increase in collective doses. An appropriate use of technology aiming diagnostic or therapy and respecting the ALARA principle is a mandatory requisite to safely perform any radiological procedure. Radiation protection is thus, a concern of all specialists in the radiology field ( radiologists, radiographers, medical physicists, among other professional groups). The importance of education and training of these professionals in reducing patients’ doses while maintaining the desired level of quality in medical exposures, as well as precise therapeutic treatments is well recognized. Education, training and continuing professional development (CPD) constitute a triad pointing towards the radiographers’ development of competences in the radiation protection field. This presentation excludes the radiographer role and competences in the fields of ultrasonography and MRI.

Pool Irradiator Safety Review for Genesis-II Systems

This report examines the Genesis II irradiator made by Gray*Star Incorporated, Mississippi Department of Health radiation safety regulations, and Nuclear Regulatory Commission (NRC) inspection guidelines for irradiators. The purpose for this report is to evaluate any hazards which may lead to a catastrophic water loss, evaluate protective action distances during a reduced shielding situation, and evaluate the safety engineering measures incorporated by Mississippi and Federal regulations to ensure the mitigation of risk for pool irradiators. Due to safeguard controls prohibiting release of precise data on emergency response measures and radioactivity of the isotopes utilized this report will be focused on regulations mandating specific engineering controls and manufacturer recommended guidelines for best practices.

Outpatient Radioiodine Therapy for Thyroid Cancer A Safe Nuclear Medicine Procedure

Purposes: To evaluate the dosimetric effect of outpatient radioiodine therapy for thyroid cancer in members of a patient`s family and their living environment, when using iodine-131 doses reaching 7.4 GBq. The following parameters were thus defined: (a) whole-body radiation doses to caregivers, (b) the production of contaminated solid waste, and (c) radiation potential and surface contamination within patients` living quarters. Methods: In total, 100 patients were treated on an outpatient basis, taking into consideration their acceptable living conditions, interests, and willingness to comply with medical and radiation safety guidelines. Both the caregivers and the radiation dose potentiality inside patients` residences were monitored by using thermoluminescent dosimeters. Surface contamination and contaminated solid wastes were identified and measured with a Geiger-Muller detector. Results: A total of 90 monitored individuals received a mean dose of 0.27 (+/- 0.28) mSv, and the maximum dose registered was 1.6 mSv. The mean value for the potential dose within all living quarters was 0.31(+/- 0.34) mSv, and the mean value per monitored surface was 5.58 Bq/cm(2) for all the 1659 points measured. The overall production of contaminated solid wastes was at a low level, being about 3 times less than the exemption level indicated by the International Atomic Energy Agency. Conclusions: This study indicates that the treatment of thyroid cancer by applying radioiodine activities up to 7.4 GBq, on an outpatient basis, is a safe procedure, especially when supervised by qualified professionals. This alternative therapy should be a topic for careful discussion considering the high potential for reducing costs in healthcare and improving patient acceptance.

Could the treatment of differentiated thyroid carcinoma with 3.7 and 5.55 GBq of ((131)I)NaI, on an outpatient basis, be safe?

Objectives The first objective of this study was to evaluate the radiological impact on relatives and the environment because of outpatient treatment of differentiated thyroid carcinoma with 3.7 and 5.55 GBq of ((131)I)NaI. The second objective was to determine, analyze, and evaluate whole-body radiation dose to caregivers, the production of contaminated solid waste, and the potentiality of radiation dose and surface contamination existing inside patients` households. Methods Twenty patients were treated on an outpatient basis, taking into consideration their acceptable living conditions, interests, and willingness to comply with medical and radiation-safety guidelines. The caregivers themselves, as well as the potentiality of the radiation dose inside patients` residences, were monitored with a thermo-luminescence dosimeter. Surface contamination and contaminated solid wastes were identified and measured by using a Geiger-Muller detector. Results and discussion Twenty-six monitored individuals received accumulated effective radiation doses of less than 1.0 mSv, and only one 2.8 mSv, throughout the 7 days of measurement. The maximum registered value for the potential of radiation dose inside all living areas was 1.30 mSv. The monitored surface contamination inside patients` dwellings showed a mean value of 4.2 Bq/cm(2) for all surfaces found to be contaminated. A total of 2.5l of contaminated solid waste was generated by the patients with 3.33 MBq of all estimated activity. Conclusion This study revealed that the treatment of differentiated thyroid carcinoma with 3.7 and 5.55 GBq of ((131)I)NaI, on an outpatient basis, can be safe when overseen by qualified professionals and with an adapted radiation-protection guideline. Even considering the radioiodine activity level and the dosimetric methodology applied here, negligible human exposure and a nonmeasurable radiological impact to the human environment were found. Nucl Med Commun 30:533-541 (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

Effect of technical parameters on dose and image quality in a computed radiography system

The discovery of X-rays was undoubtedly one of the greatest stimulus for improving the efficiency in the provision of healthcare services. The ability to view, non-invasively, inside the human body has greatly facilitated the work of professionals in diagnosis of diseases. The exclusive focus on image quality (IQ), without understanding how they are obtained, affect negatively the efficiency in diagnostic radiology. The equilibrium between the benefits and the risks are often forgotten. It is necessary to adopt optimization strategies to maximize the benefits (image quality) and minimize risk (dose to the patient) in radiological facilities. In radiology, the implementation of optimization strategies involves an understanding of images acquisition process. When a radiographer adopts a certain value of a parameter (tube potential [kVp], tube current-exposure time product [mAs] or additional filtration), it is essential to know its meaning and impact of their variation in dose and image quality. Without this, any optimization strategy will be a failure. Worldwide, data show that use of x-rays has been increasingly frequent. In Cabo Verde, we note an effort by healthcare institutions (e.g. Ministry of Health) in equipping radiological facilities and the recent installation of a telemedicine system requires purchase of new radiological equipment. In addition, the transition from screen-films to digital systems is characterized by a raise in patient exposure. Given that this transition is slower in less developed countries, as is the case of Cabo Verde, the need to adopt optimization strategies becomes increasingly necessary. This study was conducted as an attempt to answer that need. Although this work is about objective evaluation of image quality, and in medical practice the evaluation is usually subjective (visual evaluation of images by radiographer / radiologist), studies reported a correlation between these two types of evaluation (objective and subjective) [5-7] which accredits for conducting such studies. The purpose of this study is to evaluate the effect of exposure parameters (kVp and mAs) when using additional Cooper (Cu) filtration in dose and image quality in a Computed Radiography system.

Kunnossapidon työlupakäytäntöjen parantaminen mobiilijärjestelmän avulla

Viranomaisvaatimuksen mukaan ydinvoimalaitoksen toiminnan perustana tulee olla johtamisjärjestelmä, joka kattaa organisaation rakenteen ja prosessit, henkilöstön vastuut ja valtuudet sekä päätöksentekomenettelyt. Sen tulee myös tukea hyvää turvallisuuskulttuuria ja varmistaa että ydin- ja säteilyturvallisuuteen liittyvät vaatimukset täyttyvät kaikessa toiminnassa. Loviisan voimalaitoksen johtamisjärjestelmä ohjaa voimalaitoksen käyttötoimintaa ja se on kuvattuna voimalaitosohjeistossa joka käsittää voimalaitoksen politiikat, laadunvarmistuskäsikirjat sekä erilaiset ohjeet. Loviisan voimalaitoksen toimintaa seurataan ja arvioidaan säännöllisesti mm. auditoinneilla. Seurannan ja arvioinnin tarkoituksena on tunnistaa johtamisjärjestelmän mahdolliset kehittämisalueet ja varmistaa täyttääkö toiminta sille asetetut vaatimukset. Tämä opinnäyte pohjautuu sisäisessä auditoinnissa havaittuun puutteeseen voimalaitoksen työlupakäytännöissä. Työssä toteutettiin mobiilijärjestelmä, jonka tarkoituksena on parantaa kunnossapitotöihin liittyvien työlupien jälkiseurantaa. Tällaisia työlupaa vaativia töitä ovat mm. tuli- ja säteilytyöt, joiden suorittamiseen liittyy riskejä kuten palo- ja räjähdysvaara tai tarpeeton altistuminen säteilylle. Mobiilijärjestelmä toteutettiin monikansallisena projektina osana laajempaa Loviisan voimalaitoksen laitostietojärjestelmän uusintaprojektia.

Operatiivinen säteilysuojelu Posivan kapselointi- ja loppusijoituslaitoksella

Olkiluodon ja Loviisan ydinvoimalaitoksilla syntyvä käytetty ydinpolttoaine tullaan kapseloimaan ja loppusijoittamaan Posiva Oy:n kapselointi- ja loppusijoituslaitoksella, joka rakennetaan Olkiluotoon. Käytetyn polttoaineen käsittelyssä on huomioitava säteilytyöhön liittyviä säteilysuojelunäkökohtia. Kapseloinnissa ja loppusijoituksessa käsitellään vaarallisia säteilylähteitä, joista merkittävimmät ovat käytetty ydinpolttoaine ja täyden loppusijoituskapselin röntgentarkastuslaitteisto. Posivan laitosten käyttötoiminnalle muodostetaan tässä diplomityössä säteilysuojelun vaatimusmäärittely. Kapseloinnin ja loppusijoituksen säteilytyövaiheet käsitellään yksitellen säteilysuojelun näkökulmasta. Työvaiheille määritetään tarpeelliset säteilysuojelutoimenpiteet ja työvaiheiden suorittamisen säteilysuojeluvaatimukset. Molempien laitosten valvonta-aluejärjestelyjä ja säteilyolosuhteiden vyöhykejakoa tarkennetaan. Työssä määritetään vyöhyke- ja aluerajoilla vaadittavat säteilysuojelutoiminnot sekä kontaminaationhallinnan laatuvaatimukset. Työssä käsitellään myös operatiivisen säteilysuojelun toimenpiteiden laatuvaatimuksia ja tarvittavaa säteilysuojelun sisäistä ohjeistoa. Työn tuloksena on kapselointi- ja loppusijoituslaitoksen käyttötoiminnan operatiivisten säteilysuojelutoimenpiteiden kuvaus. Kapselointi- ja loppusijoituslaitosten säteilysuojelua toteutetaan käyttövaiheen työnsuunnittelulla, operatiivisilla säteilysuojelutoimilla ja rakenteellisin keinoin. Työntekijöiden säteilyannokset minimoidaan välttämällä oleskelua kohonneen säteilytason alueilla. Kapselin röntgentarkastuslaitteiston käytön säteilyturvallisuus on varmistettava ja laitosten käyttötoiminta ei saa aiheuttaa työntekijöille sisäistä säteilyannosta. Useista työvaiheista ja käyttötoiminnan poikkeustilanteista on tehtävä jatkoanalyyseja työntekijöiden säteilysuojelun näkökulmasta.

Cognitive and noncognitive variables that predict Florida community college radiography program graduates' success on the Registry

This study examined the predictive merits of selected cognitive and noncognitive variables on the national Registry exam pass rate using 2008 graduates (n = 175) from community college radiography programs in Florida. The independent variables included two GPAs, final grades in five radiography courses, self-efficacy, and social support. The dependent variable was the first-attempt results on the national Registry exam. The design was a retrospective predictive study that relied on academic data collected from participants using the self-report method and on perceptions of students' success on the national Registry exam collected through a questionnaire developed and piloted in the study. All independent variables except self-efficacy and social support correlated with success on the national Registry exam ( p < .01) using the Pearson Product-Moment Correlation analysis. The strongest predictor of the national Registry exam success was the end-of-program GPA, r = .550, p < .001. The GPAs and scores for self-efficacy and social support were entered into a logistic regression analysis to produce a prediction model. The end-of-program GPA (p = .015) emerged as a significant variable. This model predicted 44% of the students who failed the national Registry exam and 97.3% of those who passed, explaining 45.8% of the variance. A second model included the final grades for the radiography courses, self efficacy, and social support. Three courses significantly predicted national Registry exam success; Radiographic Exposures, p < .001; Radiologic Physics, p = .014; and Radiation Safety & Protection, p = .044, explaining 56.8% of the variance. This model predicted 64% of the students who failed the national Registry exam and 96% of those who passed. The findings support the use of in-program data as accurate predictors of success on the national Registry exam.

Utilização do mapa espacial de radiação e dose acumulada como ferramenta para otimização de doses em pacientes e trabalhadores nas clínicas de medicina nuclear

This study has as general aim to propose a spatial map of doses as an auxiliary tool in assessing the need for optimization of the workplace in nuclear medicine services. As specific aims, we assessed the workers individual dosimetry; we analyzed the facilities of the nuclear medicine services; and we evaluated environment exposure rates. The research is characterized as a case study, with an exploratory and explanatory nature. It was conducted in three Nuclear Medicine Services, all established in the Northwest of the Paraná State. Results indicated that the evaluated dose rates and workers dosimetry, in all the dependencies of the surveyed services, are within the limits of annual doses. However some exceeded the limits recommended in the standard CNEN-NN 3:01 (2014). It was concluded that the spatial map dose is an important tool for nuclear medicine services because it facilitates the visualization of areas with highest concentration of radiation, and also helps in the constant review of these measures and resources, aiding in the identification of any failures and shortcomings, providing resources to correct any issues and prevent their repetition. The spatial map dose is also important for the regular inspection, evaluating if the radiation protection objectives are being met.