This document provides a summary of key principles of radiation protection from a lecture on the topic. It discusses the need for radiation protection given the risks of ionizing radiation exposure. It describes sources of background radiation including cosmic rays, terrestrial radiation, radionuclides in the body, and radon gas. It covers principles of radiation protection including justification, optimization, dose limits, and ALARA. It discusses dose limits for occupational, public, and medical exposures. The aims are to eliminate deterministic effects and reduce stochastic effects.
This power-point presentation is very important for radiology resident radiologist and radiographers and technician. this includes principles, technique , biological effects of radiation and how to protect, whats should normal radiation dose with latest update. This slide also includes ALARA PRINCIPLE thanks.
This power-point presentation is very important for radiology resident radiologist and radiographers and technician. this includes principles, technique , biological effects of radiation and how to protect, whats should normal radiation dose with latest update. This slide also includes ALARA PRINCIPLE thanks.
Radiation is energy that is given off by particular materials and devices.
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination
Radiation Introduction, Hazards and Measuring Equipment used in Radiation Pro...Sabir Rasheed
Introduction of radiation, hazards and Measuring Equipment used in Radiation Protection.
Biology Effects.
Nuclear effects.
Different Radiation Measuring instruments.
1.Types of personnel monitoring devices
2.Instruments for measuring external Exposure.
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination.
Ionizing radiation is widely used in industry and medicine, and can present a significant health hazard by causing microscopic damage to living tissue. There are two main categories of ionizing radiation health effects. At high exposures, it can cause "tissue" effects, also called "deterministic" effects due to the certainty of them happening, conventionally indicated by the unit gray and resulting in acute radiation syndrome. For low level exposures there can be statistically elevated risks of radiation-induced cancer, called "stochastic effects" due to the uncertainty of them happening, conventionally indicated by the unit sievert.
Fundamental to radiation protection is the avoidance or reduction of dose using the simple protective measures of time, distance and shielding. The duration of exposure should be limited to that necessary, the distance from the source of radiation should be maxi mised, and the source shielded wherever possible. To measure personal dose uptake in occupational or emergency exposure, for external radiation personal dosimeters are used, and for internal dose to due to ingestion of radioactive contamination, bioassay techniques are applied.
Radiation is energy that is given off by particular materials and devices.
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination
Radiation Introduction, Hazards and Measuring Equipment used in Radiation Pro...Sabir Rasheed
Introduction of radiation, hazards and Measuring Equipment used in Radiation Protection.
Biology Effects.
Nuclear effects.
Different Radiation Measuring instruments.
1.Types of personnel monitoring devices
2.Instruments for measuring external Exposure.
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination.
Ionizing radiation is widely used in industry and medicine, and can present a significant health hazard by causing microscopic damage to living tissue. There are two main categories of ionizing radiation health effects. At high exposures, it can cause "tissue" effects, also called "deterministic" effects due to the certainty of them happening, conventionally indicated by the unit gray and resulting in acute radiation syndrome. For low level exposures there can be statistically elevated risks of radiation-induced cancer, called "stochastic effects" due to the uncertainty of them happening, conventionally indicated by the unit sievert.
Fundamental to radiation protection is the avoidance or reduction of dose using the simple protective measures of time, distance and shielding. The duration of exposure should be limited to that necessary, the distance from the source of radiation should be maxi mised, and the source shielded wherever possible. To measure personal dose uptake in occupational or emergency exposure, for external radiation personal dosimeters are used, and for internal dose to due to ingestion of radioactive contamination, bioassay techniques are applied.
The purpose of radiation protection is to provide an appropriate level of protection for humans without unduly limiting the beneficial actions giving rise to radiation exposure. Radiation protection is to prevent the occurrence of harmful deterministic effects and to reduce the probability of occurrence of stochastic effects (e.g. cancer and hereditary effects).The ICRP recommends, develops and maintains the International System of Radiological Protection, based on evaluation of the large body of scientific studies available to equate risk to received dose levels. The system's health objectives are "to manage and control exposures to ionising radiation so that deterministic effects are prevented, and the risks of stochastic effects are reduced to the extent reasonably achievable The ICRP's recommendations flow down to national and regional regulators, which have the opportunity to incorporate them into their own law; this process is shown in the accompanying block diagram. In most countries a national regulatory authority works towards ensuring a secure radiation environment in society by setting dose limitation requirements that are generally based on the recommendations of the ICRP.There are three basic principles of radiation protection: justification, optimization, and dose limitation. Justification involves an appreciation for the benefits and risks of using radiation for procedures or treatments. Physicians, surgeons, and radiologic personnel all play a key role in educating patients on the potential adverse effects of radiation exposure. The benefits of exposure should be well known and accepted by the medical community. Often, procedures that expose patients to relatively higher doses of radiation—for example, interventional vascular procedures—are medically necessary, and thus the benefits outweigh the risks. The As Low as Reasonably Achievable (ALARA) principle, defined by the code of federal regulations, was created to ensure that all measures to reduce radiation exposure have been taken while acknowledging that radiation is an integral part of diagnosing and treating patients. Any amount of radiation exposure will increase the risk of stochastic effects, namely the chances of developing malignancy following radiation exposure. These effects are thought to occur as a linear model in which there is no specific threshold to predict whether or not malignancy will develop reliably. For these reasons, the radiologic community teaches protection practices under the ALARA principle.The duration of radiation exposure, distance from the radiation source, and physical shielding are the key facets in reducing exposure. The exposure duration can be minimized in several ways. When exposing a patient to radiation, the technician or physician should preplan the required images to avoid unnecessary and redundant exposure. Magnification significantly increases the exposure to the patient; therefore, magnification should be used judiciously and gently.
Basic Radiation Safety Awareness Training
History of Radiation
Natural and Man-Made Background Sources of Radiation
Fundamentals
Exposure Limits & Regulations
Detection of Radiation
Safe Practices with Radiation
Biological Effects of Radiation
Where to Find Further Information
It has been concluded that the management of radiation accidents is a very challenging process and that nuclear medicine physicians have to be well organized in.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Radiation protection course for radiologists L5
1. Radiation Protection Course For Radiologists
Lecture 5 of 8
Principles of Radiation Protection
Prof Amin E AAmin
Dean of the Higher Institute of Optics Technology
&
Prof of Medical Physics
Radiation Oncology Department
Faculty of Medicine, Ain Shams University
2. Introduction
• Over half of all important decisions for the welfare of patients
are based on radiological procedures.
3. The Need For Radiation Protection
• The need for radiation protection exists because
exposure to ionizing radiation can result in deleterious
effects that manifest themselves not only in the exposed
individual but in his descendants as well.
4. Background Radiation
• Background radiation is a measure of the level of
ionizing radiation present in the environment at a particular
location which is not due to deliberate introduction
of radiation sources.
• Background radiation originates from a variety of sources,
both natural and artificial.
5. Sources Of Background Radiation
❖Natural sources of radiation
❖Artificial sources of radiation
6. Natural Sources Of Background
Radiation
❖Cosmic rays
❖Terrestrial radiation
❖Radionuclides in the body
❖Radon gas and its decay products
7. The Cosmic Ray
• Cosmic rays are high-energy protons and atomic nuclei which
move through space at nearly the speed of light.
• They originate from the sun, from outside of the solar system,
and from distant galaxies.
• They were discovered by Victor Hess in 1912 in balloon
experiments.
8. ❖ The cosmic ray
contribution to the
background radiation
varies markedly with
altitude.
❖ Note, that at cruising
altitude in a Boeing
747 the dose rate is
approximately 5
mSv/h
The Cosmic Ray
10. Let’s Compare Backgrounds
• Sea level - 30 mrem/year
from cosmic radiation
• 10,000 ft. altitude - 140
mrem/year
from cosmic radiation
11. Terrestrial Radiation
▪Terrestrial radiation comes from radioactivity emitting
from Primordial radio nuclides - these are radio nuclides
left over from when the earth was created.
▪Common radionuclides created during formation of earth:
–Radioactive Potassium (K-40) found in bananas,
throughout the human body, in plant fertilizer and
anywhere else stable potassium exists.
–Radioactive Rubidium (Rb-87) is found in brazil nuts
among other things.
12. Terrestrial Radiation
• Greatest contributor is 226Ra (Radium) with
significant levels also from 238U, 232Th, and 40K.
– Igneous rock contains the highest concentration
followed by sedimentary, sandstone and limestone.
– Fly ash from coal burning plants contains more
radiation than that of nuclear or oil-fired plants.
++
13. Radionuclides In The Body
• All element existing in the are mixture of different isotopes.
• Some of these isotopes are radioactive.
• The most important natural radionuclides that are found in the human body
are 238 U, 234 U, 232 Th, 210 Po, 210 Pb, 40 K, 226 Ra, 228 Ra, 14 C, 7 Be, 22 Na, and
the last three being cosmogenic in nature.
• In addition to these natural and cosmogenic types, the artificial radionuclides
such as 137 Cs and 90 Sr and many others can also be found in an extremely
small level.
• The concentration of the gamma emitting radionuclides, except for 40 K, in
human is so small that none of them can be detected using normal whole
body counters available to measure any intakes of radionuclides by
occupational workers.
14. Radon Gas And Its Decay Products
• Radon is a radioactive gas.
• It is colorless, odorless, tasteless, and chemically inert.
• Unless you test for it, there is no way of telling how much is
present.
• Radon is formed by the natural radioactive decay of uranium in
rock, soil, and water.
• When radon undergoes radioactive decay, it emits ionizing
radiation in the form of alpha particles.
• It also produces short-lived decay products, often called
progeny or daughters, some of which are also radioactive.
15. Artificial Sources Of Radiation Background
❖ Two artificial sources of radiation to which
every body is exposed;
❖ Fall-out from nuclear explosions.
❖ Radioactive waste, including discharges
from nuclear establishments.
❖ Another two artificial sources of radiation
to which not every body may be exposed;
❖ Medical Sources
❖ Consumer products
16. Relative Contribution Of Different
Sources Of Background Radiation
Body
17%
Cosmic
Rays
14%
Medical
12%
Artificial
1%
Radon
32%
Terestri
al
19%
Thoron
5%
Average radiation exposure from all sources: 2.8 mSv/year
18. Annual Dose to the General Population
From Natural and Man-made Sources
Radiation Source
Effective Dose
Equivalent
(mrem/year)
Percentage of Total
Natural
Cosmic
Cosmogenic
Terrestrial
Inhaled (due to radon)
In the Body
Subtotal
27
1
28
200
39
295
8%
-
8%
55%
11%
82%
Man-made
Medical X-rays
Nuclear Medicine
Consumer Products
Others
Subtotal
39
14
10
<1
64
11%
4%
3%
-
18%
Rounded Total 360 100%
19. The Aim Of Radiological
Protection
The primary aim of radiological protection is
to provide an appropriate standard of
protection for man without unduly limiting the
beneficial practices giving rise to radiation
exposure.
20. Aims Of Radiation Protection
• Deterministic effects
❖RP aims to ELIMINATE them.
• Stochastic effects
❖RP aims to REDUCE them.
21. Practices Vs Intervention
Human activities which increases the overall
exposure to radiation are called practices. Other
human activities which can decrease the overall
exposure by influencing the existing causes of
exposure are called intervention.
22. System of radiation protection
“System of RP” is the name given by the ICRP
to the application of the 3 basic principles of RP
(no part should be taken in isolation):
❖ Justification
❖ Optimization
❖ Limitation
23. Principles of Protection in
Practices
❖Justification of a practise - no practice should be adopted
unless it produces sufficient benefit to the exposed individuals or
to society to offset the radiation detriment it causes.
❖Optimization of protection - the magnitude of individual
doses, the number of people exposed, and the likelihood of
incurring exposures should be kept as low as reasonably
achievable, economic and social factors being taken into account.
❖Individual dose limits - exposure should be restricted so, that
exposure of any individual from authorized source does not
exceed any relevant dose limit.
24. Principles of Protection in Intervention
• Justification - Intervention should do more good than harm.
Reduction in detriment resulting from the reduction in dose
should be sufficient to justify the harm and the costs (including
social cost), of the intervention.
• Optimization - the form, scale and duration of the
intervention should be optimized so as to produce the
maximum net benefit, under the prevailing social and
economic circumstances.
• Intervention is not normally likely to be necessary unless the
relevant intervention or action levels are exceeded
25. The Framework Of Radiation
Protection I
In diagnostic radiology the radiation sources (X-rays) are
deliberately used and are under control. Such situations are
called by the International Commission on radiation Protection
(ICRP) “practices”.
The basic components of the system of protection for “practices”
can be summarized as follows:
No practice involving exposures to radiation should be
adopted unless it produces at least sufficient benefit to the
exposed individuals or to society to offset the radiation
detriment it causes (this is called “justification of a practice”).
26. The Framework Of Radiation
Protection II
In relation to any particular source of radiation within a practice (e.g.
X-rays in radiodiagnostic), all reasonable steps should be taken to
adjust the protection so as to maximize the net benefit, economic and
social factors being taken into account (this is called “optimization of
protection”).
A limit should be applied to the dose (other than from medical
exposures) received by any individual as the result of all practices to
which he is exposed (this is called “application of individual dose
limits”).
27. Justification
❖ Justification means that any dose exposure
MUST have a benefit to exposed individuals
or to society.
❖ Thus, if the exposure has no benefit it is not
justified.
❖ i.e. Benefit of the radiation exposure must
outweigh the risk of exposure
Vs
28. Justification
• Justification of exposures is primarily the
responsibility of the medical professional i.e.
the Radiologist.
• The expected clinical benefit associated with
each type of procedure should have been
demonstrated to be sufficient to offset the
radiation detriment.
29. Optimization
❖Optimization means that minimum risk and
maximum benefits should be achieved,
economic and social factors being taken
into account.
❖Optimization includes the ALARA
criterion: doses should be “As Low As
Reasonably Achievable”, economic and
social factors being taken into account”
BENEFIT
RISK
30. ALARA Principle
❖ Radiation exposure of personnel and the general public
should be kept
As
Low
As
Reasonably
Achievable
❖ The ALARA Principle .
❖ With economic and social factors taken into account
32. Optimisation
• For every exposure, operators must
ensure that doses arising from the
exposure are kept as low as reasonably
practicable and consistent with the
intended diagnostic purpose.
• This is optimisation.
• ALARA princible refers to the
continual application of the
optimization principle in the day-to-day
practice.
33. Optimization a Protection
LEVEL OF
INDIVIDUAL
RISK
UNACCEPTABLE RISK
LIMIT
TOLERABLE RISK
ACCEPTABLE RISK
DOSE (RISK)
CONSTRAINT
34. Optimisation – Staff Dose Investigation
Level (DIL)
• Once you start work with ionising radiation, you are
subject to legal dose limits – 6 mSv per year for non-
classified workers
• However, we have to define a Dose Investigation
Level
– 1.2 mSv per year
– Or 0.1 mSv per month
• This is a level of dose that should trigger an
investigation in conjunction with your RPA, and
ensures that you do not receive anywhere close to the
legal limit.
35. Limitation
❖ Doses should not exceed specific values, called
“individual dose limits”.
❖ These dose limits are established in order to
keep away from the “maximum risk level” so
that no individual is exposed to a radiation risk
that is judged to be unacceptable in any normal
circumstance.
❖ Limits are set such that deterministic effects
never happen
❖ Limits are set such that chances of stochastic
effects are minimised
36. Types Of Exposure
There are three types of radiation exposure;
Occupational exposure; Which is the exposure incurred at work,
and principally as a result of work.
Medical exposure; Which is principally the exposure of persons
as part of their diagnosis or treatment.
Public exposure; Which includes all other exposures (i.e.
exposure incurred by members of the public from authorized
radiation sources, excluding any occupational and medical
exposure and exposure from natural background radiation). Their
justification (for those of non natural origin) is the general benefit
brought by the use of ionizing radiation in Medicine or Industry.
37. Recommended Dose Limits In Planned
Exposure Situations (ICRP 103)
PublicOccupationalType of limit
1 mSv in a year20 mSv per yearEffective dose
15 mSv
50 mSv
150 mSv
500 mSv
500 mSv
Lens of the eye
Skin
Hands and feet
No limit for medical exposure
38. Radiation Dose Limits
• Old Radiation Dose Limits
– 50 milliSieverts per year (mSv/y) for occupational exposure
– 5 mSv/y for the general public
• New Radiation Dose Limits
– 20 mSv/y for occupational exposure (5 year average) with a
maximum of 50 mSv in any one year
– 1 mSv/y for the general public
39. Dose Limits (Public)
❖ The annual dose limit for a member of
the public (e.g. office worker in room
next door to x-ray) is 1 mSv.
❖ In special circumstances, an effective
dose of up to 5 mSv in a single year
provided that the average dose over
five consecutive years does not exceed
1 mSv per year.
40. Legal Dose Limits – Radiation Workers
• Radiation workers are those exposed to radiation as part of their
occupation
• No benefit – only risk
• Receive high levels of radiation exposure
• Very unlikely for dental
• Require annual health check
• Compulsory dose monitoring
42. The Occupational Exposure Of Women
❖ The basis for the control of the occupational exposure of
women who are not pregnant is the same as that for men
and the ICRP recommends no special occupational dose
limit for women in general.
❖ Once pregnancy has been declared, the conceptus should
be protected by applying a supplementary equivalent dose
limit at the surface of the woman’s abdomen (lower trunk)
of 2 mSv for the remainder of the pregnancy.
43. Pregnant Workers
❖ A female worker should, in becoming aware that she is
pregnant, notify the employer in order that her working
conditions may be modified if necessary.
❖ The notification of pregnancy should not be considered a
reason to exclude a female worker from work; however, the
employer of a female worker who has notified pregnancy
should adapt the working conditions in respect of occupational
exposure so as to ensure that the embryo or fetus is afforded
the same broad level of protection as required for members of
the public.
44. Medical Exposure
❖Medical radiation is the largest radiation source
other than natural background
❖Medical radiation dose accounts for about 95% of
doses from “man-made” sources
❖There are about 2 billion diagnostic x-ray
examinations, 32 million nuclear medicine
procedures and 5.5 million radiation therapy
treatments annually
45. Medical exposure
Exposure incurred by :
• patients as part of their own medical or dental
diagnosis or treatment;
• persons (other than occupationally exposed),
voluntarily helping in the support and comfort
of patients;
• volunteers in a program of biomedical
research involving their exposure.
46. Legal Dose Limits - Patients
• For examinations directly associated
with illness – there are no dose limits
47. Diagnostic Radiology-CT
CT is a relatively high dose
procedure especially multi-slice
CT
• Uses of CT are growing very
rapidly
• In some countries, the relatively
high dose and frequency of use
make CT the largest contributor to
dose from diagnostic examinations.
48. Dose Limitation For Comforters
And Visitors Of Patients (I)
The dose limits should not apply to
comforters of patients, i.e., to
individuals exposed while voluntarily
helping (other than in their
employment or occupation) in the care,
support and comfort of patients
undergoing medical diagnosis or
treatment, or to visitors of such
patients.
49. However, the dose of any such comforter
or visitor of patients should be constrained
so that it is unlikely that his or her dose
will exceed 5 mSv during the period of a
patient's diagnostic examination or
treatment. The dose to children visiting
patients who have ingested radioactive
materials should be similarly constrained
to less than 1 mSv.
Dose Limitation For Comforters
And Visitors Of Patients (II)
50. Some cases are not considered for dose limits, although they may
increase the effective dose:
❖Natural background radiation
❖Origin: cosmic radiation and natural radioactive elements in
the environment (2-3 mSv/year)
❖Radiation received as consequence of medical exposure
❖It may represent an increment of dose > than natural
radiation, but it is not taken into consideration for dose limits.
Not Considered For Dose Limits
51. Aspects Of The Problem
There are four main aspects of the problem to be considered.
▪ Firstly, radiological procedures should be based on a
demonstrated medical need.
▪ Secondly, when radiological procedures are required, it is
essential that patients be protected from excessive radiation
during the exposure.
▪ Thirdly, it is necessary that personnel in radiology departments
be protected from excessive exposure to radiation in the course of
their work.
▪ Finally, personnel in the vicinity of radiology facilities and the
general public require adequate protection.
52. Risk
• The statistical probability that personal injury will
result from some action
– smoking, speeding, extreme sports, ect.
– ionizing radiation exposure
53. Is Radiation Safe?
• Safer than normal risk associated with
many activities encountered daily
54. Average Annual Risk Of Death In The
UK From Industrial Accidents And
From Cancers Due To Radiation Work
Coal mining 1 in 7,000
Oil and gas extraction 1 in 8,000
Construction 1 in 16,000
Radiation work (1.5 mSv/y) 1 in 17,000
Metal manufacture 1 in 34,000
All manufacture 1 in 90,000
Chemical production 1 in 100,000
All services 1 in 220,000
These figures can
be compared to an
estimate of 1 in
17000 for 1.5
mSv/year received
by radiation
workers
55. The following activities are associated with
a risk of death that is 1/1,000,000
•10 days work in a nuclear medicine department
• smoking 1.4 cigarette
• living 2 days in a polluted city
• traveling 6 min in a canoe
• 1.5 min mountaineering
• traveling 480 km in a car
• traveling 1600 km in an airplane
• living 2 months together with a smoker
• drinking 30 cans of diet soda
Risks
56. Expected reduction of life
Unmarried man 3500 days
Smoking man 2250 days
Unmarried woman 1600 days
30% overweight 1300 days
Cancer 980 days
Construction work 300 days
Car accident 207 days
Accident at home 95 days
Administrative work 30 days
Radiological examination 6 days
Risks
57. Comparative Probability Of Death By
Doing Different Activities
Units of deaths per billion with one hour of risk exposure:
• Birth: 80000
• Professional Boxing: 70000
• Alpine Mountaineering: 40000
• Motorcycle racing: 35000
• Canoeing: 10000
• Serving in Vietnam: 7935
• Motorcycle riding: 6280
58. Comparative Probability Of Death By
Doing Different Activities (Cont)
Units of deaths per billion with one hour of risk exposure (cont):
• Swimming: 3650
• Small boat boating: 3000
• Cigarette Smoking: 2600
• Air travel: 1450
• Automobile Travel: 1200
• Hunting: 950
• Coal Mining: 910
• Climbing Stairs: 550
59. Comparative Probability Of Death By
Doing Different Activities (Cont)
Units of deaths per billion with one hour of risk exposure (cont):
• Amateur Boxing: 450
• Being struck by lightning: 200
• Child asleep in crib: 140
• Rail or bus travel in Britain: 50
• Rail or bus travel in USA: 10.0
• Radiation exposure of world population to a local nuclear
conflict: 5.0
60. Comparative Probability Of Death
By Doing Different Activities (Cont)
Units of deaths per billion with one hour of risk exposure (cont):
• Living in an area where snakes are present: 3.8
• Being vaccinated: 1.3
• Giving This lecture: < 1
61. Comparative Probability Of Death By
Doing Different Activities (Cont)
One in a million risk of death from the following:
• 1.5 cigarettes
• Driving 50 miles
• Flying 250 miles
• 1.5 minutes of rock climbing
• 6 minutes of canoeing
• 20 minutes being a man aged 60
• 1-2 weeks of typical factory work
62. What Is The Radiation Risk Estimate?
❖ According to the Biological Effects of Ionizing Radiation
committee V (BEIR V), the risk of cancer death is 0.08% per
rem for doses received rapidly (acute) and might be 2-4
times (0.04% per rem) less than that for doses received over
a long period of time (chronic).
❖ These risk estimates are an average for all ages, males and
females, and all forms of cancer. There is a great deal of
uncertainty associated with the estimate.
63. Risk Estimates
• The risk estimates given in the following table include an
assumption of full expression of the cancer risk and an
assumption of a population distribution over all ages and both
sexes.
• The genetic component includes severe genetic effects for the
first two generations.
• In the total risk coefficient, the somatic risk is 125 × 10-4 Sv-1
(125 × 10-6 rem-1), which for radiation protection purposes is
rounded off to 1 × 10-2 Sv-1 (1 × 10-4 rem-1). The genetic
component of the risk is 40 × 10-4 Sv-1 (0.4 × 10-4 rem-1).
65. Negligible Individual Risk Level
• An annual effective dose that provides a low-exposure
cut off, below which the individual risk can be
described as negligible.
66. Negligible Individual Risk Level
• A negligible individual risk level (NIRL) is defined by the
NCRP as “a level of average annual excess risk of fatal health
effects attributable to irradiation, below which further effort to
reduce radiation exposure to the individual is unwarranted.”
• The NCRP also states that “the NIRL is regarded as trivial
compared to the risk of fatality associated with ordinary,
normal societal activities and can, therefore, be dismissed from
consideration.”
67. Negligible Individual Risk Level
• The concept of NIRL is applied to radiation protection
because of the need for having a reasonably negligible risk
level that can be considered as a threshold below which
efforts to reduce the risk further would not be warranted or,
in the words of the NCRP, “would be deliberately and
specifically curtailed.”
68. Negligible Individual Risk Level
• To avoid misinterpretation of the relationships between the
NIRL, ALARA, and maximum permissible levels, the NCRP
points out that the NIRL should not be thought of as an
acceptable risk level, a level of significance, or a limit. Nor
should it be the goal of ALARA, although it does provide a
lower limit for application of the ALARA process. The
ALARA principle encourages efforts to keep radiation
exposure as low as reasonably achievable, considering the
economic and social factors.
69. Negligible Individual Risk Level
Example
• Calculate the risk for (a) radiation workers, (b) members
of the general public, and (c) NIRL, corresponding to
respective annual effective dose-equivalent limits.
Assume risk coefficient of 10-2 Sv-1 (10-4 rem-1).
71. Negligible Individual Risk Level
Example
(b)
Annual effective dose equivalent limit for members of:
General public = 1 mSv (0.1 rem)
Annual risk = 0.1 rem × (10-4 rem-1) = 10-5
72. Negligible Individual Risk Level
Example
(c)
Annual effective dose equivalent limit for NIRL:
= 0.01 mSv (0.001 rem)
Annual risk = 0.001 rem × (10-4 rem-1) = 10-7
73. Dealing With Ionizing Radiation
Its risks should be kept in perspective with other risks.
74.
75. Controlled Area
• An area to which access is subject to control and in which
employees are required to follow specific procedures aimed at
controlling exposure to radiation
76. Controlled Area
• Personnel mentoring equipment shall be supplied to each
occupationally exposed individuals 18 years of age, or over,
who enters any controlled area under such circumstances that
individuals is likely to receive in excess of 10% of the above
area dose equivalent limits.
77. Controlled Area
• The concept of a "Controlled Area" localizes radiation use
within the facility, thereby permitting more effective
monitoring and control of potential radiation safety
problems.
• "Controlled Area" shall mean any area the access to which
is controlled for the purpose of protecting individuals from
exposure to radiation.
78. Controlled Area
• Access to controlled areas should be restricted, at least by
the use of warning signs.
• High radiation areas and each radiation area where the
possibility presents of approaching 10% of the
occupational dose limit shall be treated as controlled areas.
79. Controlled Area
The specific requirements are:
1. The area must be secured when it is not occupied by responsible
personnel.
2. The area must be posted with proper signs indicating the radiation
zone(s) and the sources which is present.
3. Personnel monitoring must be provided where appropriate, as
determined by the Radiation Safety Office.
4. Surveys must be performed to maintain surveillance on the hazards
which might be present, and records kept.
5. Personnel must receive written instructions as to the hazards present in
the area.
80. Protection from External Radiation
external hazards arise from
❖radioactive sources
❖machines producing radiation eg x-rays
Protection Methods
fall under three headings
1) Time limit the exposure time
2) Distance use inverse square law
3) Shielding attenuate the beam
81. Practical Methods To Restrict
YOUR Radiation Exposure
•Time
•Distance
•Shielding
82. Reduction of External Dose
❖Minimize the time spent near the radiation source
❖Maximize the distance away from the source
❖Make use of available shielding
83. Time
An ALARA principle is to
reduce the time in a radiation
field
100 200 300 mrem
100 mrem/hr 1 hour 2 hours 3 hours
84. 20
Time
Dose is proportional to
the time exposed
it is wise to spend no more time
than necessary near radiation sources
85. Time
Less time = Less radiation exposure
Obtaining higher doses in order to get an
experiment done quicker is NOT “reasonable”!
86. Time
• minimize time in radiography or fluoroscopy rooms
• minimize time spent with patients who are undergoing therapy
treatment eg. nuclear medicine procedures, radioactive
implants
• Know Your Protocol
➢ Read the procedure through carefully
➢ Understand the steps clearly or
➢ Have the protocol displayed where you can see it
• Practice the technique beforehand
87. Methods For Minimizing Time I
• Pre-plan and discuss the task thoroughly prior to
entering the area.
• Use only the number of workers actually
required to do the job.
• Have all necessary tools before entering the
area.
• Use mock ups and practice runs.
• Take the most direct route to the job site.
88. Methods For Minimizing Time II
• Never loiter in an area controlled for radiological
purposes.
• Work efficiently but swiftly.
• Do the job right the first time.
• Perform as much work outside the area as possible.
89. Distance As A Radiation
Protection Measure
For a point source,
the Radiation Dose
decreases as the
square of the distance
from the source.
Dose 1/d2
90. Distance
Another ALARA principle is to
maximize the distance from source
0 1 2 3 4
ft. ft. ft. ft. ft.
100 25 11 6 mrem/hr
Inverse
square
1 1/4 1/9 1/16
91. Distance
• Operator B receives only a quarter of
the radiation received by Operator A if
he is standing twice the distance from
the source
• Operator B receives only one ninth of
the radiation received by Operator A is
he is standing 3 times the distance
from the source
92. Distance
❖ It is recommended that an individual remains as
far away as possible from the radiation source .
❖ Procedures and radiation areas should be
designed such that only minimum exposure
takes place to individuals doing the procedures
or staying in or near the radiation areas.
93. Consequence
• Distance is very efficient for radiation protection as the dose
falls off in square
• Examples:
– long tweezers for handling of sources
– big rooms for imaging equipment
94. Methods For Maintaining Distance
From Sources Of Radiation
• The worker should stay as far away
as possible from the source of
radiation.
• For point sources, the dose rate
follows the inverse square law. If
you double the distance, the dose
rate falls to 1/4. If you triple the
distance, the dose rate falls to 1/9.
95. • Be familiar with
radiological conditions in
the area.
• During work delays, move
to lower dose rate areas.
• Use remote handling
devices when possible.
Methods For Maintaining Distance
From Sources Of Radiation
100. Proper Uses Of Shielding
❖Shielding reduces the
amount of Radiation dose
to the worker.
❖Different materials
shield a worker from the
different types of
radiation.
102. ◼ Shielding used where
appropriate
◼ Significantly reduces
radiation effects
Lead
Plexiglas
Radiation Shielding
103. Shielding
•Various high atomic number (Z) materials that absorb radiations
can be used to provide radiation protection
•The ranges of alpha and b particles are short in matter the
containers themselves act as shields for these radiations
–Alpha can be stopped by a piece of paper
–Beta low molecular weight element Al or glass can stop its effect.
(Whay don’t we use lead for shielding of beta radiation?)
•Gama radiations are highly penetrating absorbing material must
be used for shielding of g-emitting sources
–Lead is most commonly used for this purpose.
105. Shielding
• Proper uses of shielding
– Permanent shielding.
– Use shielded containments.
– Wear safety glasses/goggles to
protect your eyes from beta
radiation, when applicable.
– Temporary shielding (e.g., lead
blankets or concrete blocks)
• Only installed when proper
procedures are used.
107. Proper Uses Of Shielding
It should be
remembered that the
placement of shielding
may actually increase
the total dose (e.g.,
man-hours involved in
placement,
Bremsstrahlung, etc.).