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McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Health Physics
563-613B
Re...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Historical
Discovery of X-...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Legal Jurisdiction
Interna...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Legal Jurisdiction
Radiati...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
International Commission o...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
International Commission o...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
ICRP Publications
ICRP Pub...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
International Commission o...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
International Commission o...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
ICRU Publications
71: Pres...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
International Radiation Pr...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
National Council on Radiat...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
National Council on Radiat...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
NCRP Publications
NCRP 49:...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Biological Effects of Ioni...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
U N Scientific Cmmt’e on t...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Int’l Atomic Energy Agency...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Int’l Atomic Energy Agency...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Int’l Atomic Energy Agency...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Int’l Atomic Energy Agency...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Some international web sit...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Other Organizations
Bureau...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Canadian Nuclear Safety Co...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Canadian Nuclear Safety Co...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Canadian Nuclear Safety Co...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC jurisdiction
CNSC reg...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Regulations
Canadian ...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Regulations
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Class Structures
and ...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Class Structures
and ...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Class Structures
and ...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC for Radiation Oncolog...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Radiation Therapy Lic...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Construction License
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Operating License
Ope...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Operating License
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Class II Prescribed E...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Class II Facilities
S...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Class II Prescribed E...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
CNSC Enforcement
CNSC - In...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
National
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Provincial
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Provincial
a. 147
147. Whe...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Provincial
L-0.2, r.1
Regu...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Provincial
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
National - Provincial - Te...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Health Canada
Radiation Pr...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Health Canada
Radiation Pr...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
National Dosimetry Service...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
National Dose Registry
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
US Nuclear Regulatory Comm...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
US Nuclear Regulatory Comm...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Canadian Food Inspection A...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Canadian Food Inspection A...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Canadian Food Inspection A...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
Transport...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
CANUTEC
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Transport Canada
CANUTEC
E...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Acquisition of high techno...
Acquisition of high technology equipment
in Quebec
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Health Canada
Lasers, RF f...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
What to do when
things go ...
McGill University Health Centre
Centre de Santé de l’Université McGill
563-613B L#2 MDCE Sep”04
Labarynths - and regulator...
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Regulatory Aspects and Licensing

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  1. 1. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Health Physics 563-613B Regulatory Aspects and Licensing (or who’s who) Lecture # 2 ( Sep. 17, 2004) Michael Evans
  2. 2. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Historical Discovery of X-Ray: W. Röentgen Nov. 8, 1895 Prof. J. Cox (Physics - McGill ) and Dr. R. Kirkpatrick (MGH). Feb. 7, 1896 - 45 minute radiograph of the tibia showing the location of a bullet. First radiograph to be accepted as evidence in a court of law. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  3. 3. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Legal Jurisdiction International Bodies (Advisory) National Bodies (Advisory and Binding) Provincial (Generally Binding) Municipal (Binding and Soliciting) Institutional (Soliciting)
  4. 4. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Legal Jurisdiction Radiation Oncology (Federal) Nuclear Medicine (Federal) Diagnostic Imaging (Provincial) Health Physics (Fed / Prov / Municipal)
  5. 5. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 International Commission on Radiological Protection ICRP The International Commission on Radiological Protection, ICRP, is an independent Registered Charity, established to advance for the public benefit the science of radiological protection, in particular by providing recommendations and guidance on all aspects of protection against ionising radiation. An advisory body providing recommendations and guidance on radiation protection; Founded in 1928 by the International Society of Radiology (ISR), then called the ‘International X-ray and Radium Protection Committee Was restructured to better take account of uses of radiation outside the medical area, and given its present name, in 1950; Based in the United Kingdom with a small scientific secretariat in Sweden.
  6. 6. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 International Commission on Radiological Protection ICRP ICRP published its recommendations and advice as papers in various scientific journals in the fields of medicine and physics. Since 1959, ICRP has its own series of publications, since 1977 in the shape of a scientific journal, the Annals of the ICRP QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  7. 7. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 ICRP Publications ICRP Publication 23: Reference Man: Anatomical, Physiological and Metabolic Characteristics … ICRP Publication 28: The Principles and General Procedures for Handling Emergency and Accidental Exposure of Workers … ICRP Publication 44: Protection of the Patient in Radiation Therapy … ICRP Publication 84: Pregnancy and Medical Radiation … ICRP Publication 92: Relative Biological Effectiveness (RBE), Quality Factor (Q), and Radiation Weighting Factor (wR) www.icrp.org $$
  8. 8. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 International Commission on Radiation Units ICRU The International Commission on Radiation Units and Measurements (ICRU) was established in 1925 by the International Congress of Radiology. Since its inception, it has had as its principal objective the development of internationally acceptable recommendations regarding (1) quantities and units of radiation and radioactivity; (2) procedures suitable for the measurement and application of these quantities in diagnostic radiology, radiation therapy, radiation biology, and industrial operations; and (3) physical data needed in the application of these procedures, the use of which tends to assure uniformity in reporting
  9. 9. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 International Commission on Radiation Units ICRU The ICRU endeavors to collect and evaluate the latest data and information pertinent to the problems of radiation measurement and dosimetry, and to recommend in its publications the most acceptable values and techniques for current use QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  10. 10. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 ICRU Publications 71: Prescribing, Recording, and Reporting Electron Beam Therapy(2004), Journal of the ICRU, vol.4 no.1, available only from OUP 62 : Prescribing, Recording and Reporting Photon Beam Therapy (Supplement to ICRU Report 50) ( 1999 ) US$ 65.00 50 : Prescribing, Recording and Reporting Photon Beam Therapy ( 1993 ) US$ 60.00 23 : Measurement of Absorbed Dose in a Phantom Irradiated by a Single Beam of X or Gamma Rays ( 1973 ) US$ 40.00
  11. 11. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 International Radiation Protection Association IRPA Primary purpose of IRPA is to provide a medium whereby those engaged in radiation protection activities in all countries may communicate more readily with each other and through this process advance radiation protection in many parts of the world. Further objectives of IRPA are: - encourage the establishment of radiation protection societies throughout the world as a means of achieving international cooperation, - provide for and support international meetings for the discussions of all aspects of radiation protection• encourage international publications dedicated to radiation protection, - encourage research and educational opportunities in those scientific and related disciplines which support radiation protection• encourage the establishment and continuous review of universally acceptable radiation protection standards or recommendations through the international bodies concerned.
  12. 12. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 National Council on Radiation Protection and Measurements (NCRP) The NCRP has been active in the areas of radiation protection and measurements since its inception as “The Advisory Committee on X-Ray and Radium Protection” in 1929. It was originally established to represent all of the national radiological organizations in the United States on a collective, scientific basis and to serve, in essence, as the United States national analog of the ICRP. The NCRP originally operated as an informal association of scientists seeking to make available information and recommendations on radiation protection and measurements. More than 30 major reports were produced during the early period of the NCRP's history including the first recommendation specifying a maximum permissible level of exposure.The NCRP was reorganized and chartered by the U.S. Congress in 1964 as the National Council on Radiation Protection and Measurements.
  13. 13. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 National Council on Radiation Protection and Measurements (NCRP) Objectives: 1. collect, analyze, develop and disseminate in the public interest information and recommendations about (a) protection against radiation (referred to herein as radiation protection) and (b) radiation measurements, quantities and units, particularly those concerned with radiation protection; 2. provide a means by which organizations concerned with the scientific and related aspects of radiation protection and of radiation quantities, units and measurements may cooperate for effective utilization of their combined resources, and to stimulate the work of such organizations; 3. develop basic concepts about radiation quantities, units and measurements, about the application of these concepts, and about radiation protection; 4. cooperate with the ICRP, the Federal Radiation Council, the ICRU, and other national and international organizations, governmental and private, concerned with radiation quantities, units and measurements and with radiation protection.”
  14. 14. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 NCRP Publications NCRP 49: Structural Shielding Design and Evaluation for Medical Use of X Rays and Gamma Rays of Energies up to 10 MeV (1976)… NCRP 94: Exposure of the Population in the United States and Canada from Natural Background Radiation (1988) NCRP 90: Neptunium: Radiation Protection Guidelines (1987) NCRP 127: Operational Radiation Safety Program (1998) NCRP 144:Radiation Protection for Particle Accelerator Facilities (2003)
  15. 15. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Biological Effects of Ionizing radiation BEIR – (BEIR) III : "The Effects on Populations of Exposure to Low Levels of ionizing Radiation”(1980) – (BEIR) V : "The Health Effects of Exposure to Low Levels of ionizing Radiation”(1988) – (BEIR) VI : "Health Effects of Exposure to Indoor Radon”(1999) Reports are produced by a sub-committee of the National Academy of Science for the National Research Council which reports to the US Congress
  16. 16. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 U N Scientific Cmmt’e on the Effects of Atomic Radiation UNSCEAR UNSCEAR was established by the General Assembly of the United Nations in 1955. Its mandate in the United Nations system is to assess and report levels and effects of exposure to ionizing radiation. Governments and organizations throughout the world rely on the Committee's estimates as the scientific basis for evaluating radiation risk, establishing radiation protection and safety standards, and regulating radiation sources. Exposures from the Chernobyl accident" (74 pages) of the UNSCEAR 1988 Report. Acute radiation effects in victims of the Chernobyl acci QuickTime™ and a TIFF (Uncompressed) decomp are needed to see this picture
  17. 17. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Int’l Atomic Energy Agency IAEA QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and aTIFF (Uncompressed) decompressor are needed to see this picture. Millions of Cancer Victims in Developing Countries Lack Access to Life-Saving Radiotherapy 2003 | The number of cancer patients in the developing world will double to 10 million new cases annually by 2015 (World Cancer Report, World Health Organization, 2003), most of whom will have no access to the radiation therapy that could save or prolong their lives, and decrease their pain and suffering.
  18. 18. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Int’l Atomic Energy Agency IAEA
  19. 19. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Int’l Atomic Energy Agency IAEA
  20. 20. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Int’l Atomic Energy Agency IAEA IAEA is often a “first responder” in cases of radiation accidents in various settings including the medical community. IAEA can offer help and support to communities with insufficient medical physics support, and help with dose estimates. Spain - Linac accident Panama - Cobalt mistreatment Brazil - Ruptured/stolen Cesium source ……
  21. 21. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Some international web sites www.irpa.net www.icru.org www.icrp.org www.ncrp.com www.nationalacademies.org (BEIR) www.nap.edu/catalog (BEIR) www.unscear.org www.iaea.org www-naweb.iaea.org/iaea.org/nahu/dmrp
  22. 22. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Other Organizations Bureau International de Métrologie Légale Bureau International des Poids et Mesures Council for International Organizations of Medical Sciences European Commission EC Research on Radiation Protection EC Regulatory Aspects of Radiation Protection Food and Agriculture Organization of the United Nations FAO World Agricultural Information Centre International Committee of Photobiology International Council for Science ICSU International Electrotechnical Commission International Labour Office International Labour Organization International Organization for Medical Physics International Organization for Standardization International Society of Radiology International Union of Pure and Applied Physics Radiation Research Society The American Society for Therapeutic Radiology and Oncology, Inc. The American Association of Physicists in Medicine United Nations Educational, Scientific and Cultural Organization World Health Organization World Standards Services Network WSSN
  23. 23. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Canadian Nuclear Safety Commission CNSC – The mission of the Canadian Nuclear Safety Commission (CNSC) is to regulate the use of nuclear energy and materials to protect health, safety, security and the environment and to respect Canada's international commitments on the peaceful use of nuclear energy.On May 31, 2000, when the former Atomic Energy Control Board became the CNSC, it was provided with a stronger mandate to carry out its job.
  24. 24. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Canadian Nuclear Safety Commission CNSC
  25. 25. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Canadian Nuclear Safety Commission CNSC Under the Nuclear Safety and Control Act, the CNSC's mandate involves four major areas: regulation of the development, production and use of nuclear energy in Canada; regulation of the production, possession, use and transport of nuclear substances, and the production, possession and use of prescribed equipment and prescribed information; implementation of measures respecting international control of the development, productions, transport and use of nuclear energy and substances, including measures respecting the non-proliferation of nuclear weapons and nuclear explosive devices; dissemination of scientific, technical and regulatory information concerning the activities of the CNSC, and the effects on the environment, on the health and safety of persons, of the development, production, possession, transport and use of nuclear substances.
  26. 26. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC jurisdiction CNSC regulations apply to: Power reactors Non-power reactors Nuclear research and test establishments Uranium mines and mills Processing and fuel fabrication facilities Heavy water production plants Nuclear substance processing facilities Particle accelerators Waste management facilities Packaging and transportation of nuclear substances Nuclear substances and radiation devices Lands under evaluation Irradiators Imports and exports of nuclear items Exports of nuclear-related dual-use items Dosimetry service providers
  27. 27. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Regulations Canadian Nuclear Safety Commission Rules of Procedure General Nuclear Safety and Control Regulations Office Consolidation Radiation Protection Regulations Class I Nuclear Facilities Regulations Class II Nuclear Facilities and Prescribed Equipment Regulations Uranium Mines and Mills Regulations Nuclear Substances and Radiation Devices Regulations Packaging and Transport of Nuclear Substances Regulations Office Consolidation Nuclear Security Regulations Nuclear Non-Proliferation Import and Export Control Regulations CNSC Cost Recovery Fees Regulations
  28. 28. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Regulations
  29. 29. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Class Structures and Licensing Class I and II and all radioactive substances below exemption quantities Risk types : Low, Medium and High Controlled Areas Class A ; alpha and high gamma: 3 Bq/cm2 Class B ; beta and medium gamma: 30 Bq/cm2 Class C ; pure beta and low gamma: 300 Bq/cm2
  30. 30. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Class Structures and Licensing Class I
  31. 31. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Class Structures and Licensing Class II 1015 Bq = 27 000 Ci
  32. 32. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC for Radiation Oncology Regulation of all radioactive material Regulation of all Class II prescribed equipment Regulation of linear accelerators above 10 MV due to photo-activation Mandate is acquired through “The Act”:
  33. 33. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Radiation Therapy Licensing Prescribed Equipment Licensing Brachytherapy, Linacs. Teletherapy i Construction ii Operate to commission iii Operate iv Decommission Therapy Servicing License Survey Meter Calibration
  34. 34. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Construction License
  35. 35. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Operating License Operating License » Operating to commission – Safety Tests – Acceptance Tests – Commissioning – Safety Report » Operating to treat – Scheduled safety procedures – Annual Compliance Reports – Renewals – Inspections/audits
  36. 36. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Operating License
  37. 37. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Class II Prescribed Equipment 48 Class II licenses 121 Class II PE Units QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Teletherapy Irradiator - Cobalt - 60 Also irradiators (GammaCell/ Cesium…) High dose rate brachytherapy units ( Ir - 192) @ 370 GBq Linear Accelerators Photons (6 & 18 MV) Electrons ( 4 to 25 MeV)
  38. 38. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Class II Facilities Shielding dose limits,workload, Safety Systems mechanical, radiation, emergencies Training mandatory, safety, service Compliance Records previous history Dosimetry Systems personnel monitoring program
  39. 39. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Class II Prescribed Equipment QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. LinacsLinacs QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Co-60Co-60 QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. HDRHDR QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. LDRLDR QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Gamma KnifeGamma Knife
  40. 40. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 CNSC Enforcement CNSC - Inspections ~ 1/year or so (no fun) CNSC - Audits @ as required (even less fun) CNSC surprise visits ~ rare but allowed (the most fun) Sanctionsareonaslidingscalefrominfractionstowarningstofinestolicenserevocationtolegal action
  41. 41. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 National
  42. 42. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Provincial
  43. 43. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Provincial a. 147 147. When there is an alteration made in the shielding, in the x-ray machine or in the latter's use, the shielding and the machine must be inspected by a physicist before operating such machine. R.R.Q., 1981, c. P-35, r. 1, s. 147 SCHEDULE 8 (ss. 143, 150, 174, 183, 185 and 190) MAXIMUM PERMISSIBLE DOSE (MPD) EQUIVALENTS [L-0.2r1#09, see R.R.Q., 1981, 8-383]
  44. 44. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Provincial L-0.2, r.1 Regulation respecting the application of the Public Health Protection Act (Updated to November, 26 2002) An Act respecting medical laboratories, organ, tissue, gamete and embryo conservation, ambulance services and the disposal of human bodies (R.S.Q., c. L-0.2, s. 69) This Act was formerly entitled :"Public Health Protection Act". The title of the Act was replaced by section 149 of chapter 60 of the statutes of 2001.
  45. 45. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Provincial
  46. 46. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 National - Provincial - Territorial
  47. 47. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Health Canada Radiation Protection Bureau To investigate, communicate and reduce health risks to Canadians from exposure to ionizing and non- ionizing radiation. General • Radiation Protection in Health Canada • Federal Provincial Territorial Radiation Protection Committee Emergency Preparedness • Nuclear Emergency Preparedness and Response Division
  48. 48. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Health Canada Radiation Protection Bureau Environmental • Arctic • Canadian Radiological Monitoring Network • Cosmic Radiation Exposure and Air Travel • Radon • Radiological Impact Worker Related • Bioassay Laboratory • Human Monitoring Laboratory • National Calibration Reference Centre for Bioassay and In VivoMonitoring • National Dose Registry • National Dosimetry Services
  49. 49. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 National Dosimetry Service QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Thermoluminescent Dosimeters
  50. 50. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 National Dose Registry
  51. 51. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 US Nuclear Regulatory Commission NRC
  52. 52. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 US Nuclear Regulatory Commission NRC The Atomic Energy Act (AEA) permits NRC to make agreements with the governors of states to turn over regulatory authority for AEA materials to the State if certain conditions are met. States that meet the conditions and agree to regulate AEA materials are called "Agreement States." Agreement States usually regulate all sources of radiation in the State, except reactors and large quantities of special nuclear material. Currently, 32 States have Agreements.Non-Agreement States, and Areas of Exclusive Federal Jurisdiction within Agreement StatesNRC exercises regulatory authority over AEA materials in those States that do not have Agreements. In addition, certain locations within the Agreement States may be subject to "exclusive federal jurisdiction." Protected areas of nuclear reactors, most American Indian Reservations, and certain areas on military bases are examples. NRC retains regulatory authority over AEA materials in areas of exclusive federal jurisdiction.
  53. 53. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Canadian Food Inspection Agency (CFIA)
  54. 54. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Canadian Food Inspection Agency (CFIA)
  55. 55. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Canadian Food Inspection Agency (CFIA)
  56. 56. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG) The transportation of such products by air, marine, rail and road is regulated under the federal Transportation of Dangerous Goods Act, 1992. The transportation of Dangerous Goods Regulations, adopted by all provinces and territories, establishes the safety requirements for the transportation of dangerous goods. Federal and provincial legislation provide for the regulation of an extensive list of products, substances or organisms classified as dangerous. The products fall into one of nine classes:
  57. 57. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG) QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Explosives Gases Flammable Liquids flammable solids, spontaneously combustibles and substances that, on contact with water, emit flammable gases oxidizing substances and organic peroxides poisonous (toxic) and infectious substances corrosives miscellaneous products or substances
  58. 58. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG) Class 7 Radioactive Packing Groups I,II or III Labels QuickTime™ and aTIFF (Uncompressed) decare needed to see this pict QuickTime™ and aTIFF (Uncompressed) dare needed to see this p Fissile materials with Criticality Index Placards QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  59. 59. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG) Transport Index mR/hr at 1 m from the external surface OR (mSv /hr x 100) at 1 m from the external surface Content Activity (Bq) Transport Index QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  60. 60. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG) QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  61. 61. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG) Shipping Name (Proper): Hazard: ID (UN#): Package Type: Consignor and Consignee: Air Eligibility Labels: Handling Labels: RQ designation: QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  62. 62. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG)
  63. 63. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG) Eg:Iridium- 192 high dose rate afterloading source Bucket to be returned by Fed-Ex UN# 3332 Proper Shipping Name: RADIOACTIVE MATERIAL, TYPE A PACKAGE, SPECIAL FORM non fissile or fissile- excepted TI 0.7 and max. surface exposure rate 10 mR/hr : Category II Yellow (Using calibrated Survey Meter)
  64. 64. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada Transportation of Dangerous Goods (TDG) Label: Ir-192, 300 GBq Air Eligible, and shippers declaration - consignee/consignor signature With 24 hr telephone #(CANUTEC) and Emergency Response Assistance Plan # Be ready for questions regarding packing procedures -
  65. 65. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada CANUTEC
  66. 66. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Transport Canada CANUTEC EMERGENCIES 1 613 996-6666 (collect) •666 Information 1 613 992 4624
  67. 67. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Acquisition of high technology equipment in Quebec The process is extremely complicated and bureaucratic, run through three layers of bureaucracy: Regional Councils Ministry of Health, and Treasury Board. Example: Purchasing of Imaging and Cancer Therapy equipment.
  68. 68. Acquisition of high technology equipment in Quebec
  69. 69. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Health Canada Lasers, RF for Magnetic Resonnance,…
  70. 70. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 What to do when things go wrong Surprise: “Oh no!” Concern: “Is any body hurt?” Deny: “I don’t know anything” Say Nothing: “Ask my boss”
  71. 71. McGill University Health Centre Centre de Santé de l’Université McGill 563-613B L#2 MDCE Sep”04 Labarynths - and regulators Regulators tell you what’s wrong ; you have to determine what’s right QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
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