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IAEA International Atomic Energy Agency RADIATION PROTECTION IN DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY Part 12.1 : Shielding and X-ray room design Practical exercise IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology

RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

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Page 1: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEAInternational Atomic Energy Agency

RADIATION PROTECTION INDIAGNOSTIC AND

INTERVENTIONAL RADIOLOGY

Part 12.1 : Shielding and X-ray room design

Practical exercise

IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology

Page 2: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 2

Overview / Objectives

• Subject matter : design and shielding calculation of a diagnostic radiology department

• Step by step procedure to be followed

• Interpretation of results

Page 3: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEAInternational Atomic Energy Agency

Part 12.1 : Shielding and X-ray room design

Design and shielding calculation of a diagnostic radiology department

Practical exercise

IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology

Page 4: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 4

Radiation Shielding - Calculation

• Based on NCRP 147

• Assumptions used are very pessimistic, so overshielding is the result

• Various computer programs are available, giving shielding in thickness of various materials

Page 5: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 5

Shielding Calculation - Principle

• We need, at each calculation point, the dose per week per mA-min, modified for U and T, and corrected for distance

• The required attenuation is simply the ratio of the design dose to the actual dose

• Tables or calculations can be used to estimate the shielding required

Page 6: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 6

Shielding Calculation - Detail

Dose per week - primary

• Data being used for NCRP 147 suggests that for :• 100 kVp, dose/unit workload = 4.72 mGy/mA-

min @ 1 meter

• 125 kVp, dose/unit workload = 7.17 mGy/mA-min @ 1 meter

Page 7: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 7

Shielding Calculation - Detail

• Thus if the workload were 500 mA-min/week @ 100 kVp, the primary dose would be :

500 x 4.72 mGy/week @ 1 meter = 2360 mGy/ week

Page 8: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 8

Sample Shielding Calculation

• Using a typical x-ray room, we will calculate the total dose per week at one point

Office

2.5 m

Calculation Point

Page 9: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 9

Shielding Calculation - Primary

If U = 0.25, and T = 1 (an office) and the distance from the x-ray tube is 2.5 m, then the actual primary dose per week is :

(2360 x 0.25 x 1)/2.52 = 94.4 mGy/week

Page 10: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 10

Shielding Calculation - Scatter

• Scatter can be assumed to be a certain fraction of the primary dose at the patient

• We can use the primary dose from the previous calculation, but must modify it to the shorter distance from the tube to the patient (FSD, usually about 80 cm)

• The “scatter fraction” depends on scattering angle and kVp, but is a maximum of about 0.0025 (125 kVp @ 135 degrees)

Page 11: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 11

Shielding Calculation - Scatter

• Scatter also depends on the field size is simply related to a “standard” field size of 400 cm2 - we will use 1000 cm2 for our field

• Thus the worst case scatter dose (modified only for distance and T) is :

(2360 x 1 x 0.0025 x 1000)

-------------------------------- = 3.7 mGy

(400 x 2.52 x 0.82)

Page 12: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 12

Shielding Calculation - Leakage

• Leakage can be assumed to be at the maximum allowable (1 mGy.hr-1 @ 1 meter)

• We need to know how many hours per week the tube is used

• This can be taken from the workload W, and the maximum continuous tube current

• Leakage is also modified for T and distance

Page 13: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 13

Shielding Calculation - Leakage

• For example: if W = 300 mA-min per week and the maximum continuous current is 2 mA, the “tube on” time for leakage calculation

= 300/(2 x 60) hours

= 2.5 hours

• Thus the leakage = 2.5 x 1 x 0.25 / 2.52 mGy

= 0.10 mGy

Page 14: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 14

Shielding Calculation - Total Dose

• Therefore the total dose at our calculation point:

= (94.4 + 3.7 + 0.1) = 99.2 mGy / week

• If the design dose = 0.01 mGy / week

then the required attenuation

= 0.01/99.2

= 0.0001

Page 15: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 15

Shielding Calculation - Lead Required

• From tables or graphs of lead shielding, we can find that the necessary amount of lead is 2.5 mm

• There are tables or calculation formula for lead, concrete and steel at least

• The process must now be repeated for every other calculation point and barrier

Page 16: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 16

Shielding Calculation

1 2 3 4 5 6 7 8 mm

105

104

103

102

10 Lead Required

Reduction factor

50 75 kV 100 150 200 kV 250

300 kV

Page 17: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 17

Radiation Shielding Parameters

Page 18: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 18

Room Shielding - Multiple X-Ray Tubes

• Some rooms will be fitted with more than one x-ray tube (maybe a ceiling-mounted tube, and a floor-mounted tube)

• Shielding calculations MUST consider the TOTAL radiation dose from all tubes

Page 19: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 19

CT room design

• General criteria:• Large room with enough space for:

• CT scanner • Auxiliary devices (contrast media injector, emergency bed and

equipment, disposable material containers, etc) • 2 dressing-rooms

• Other spaces required: • Console room with large window large enough to see the patient

all the time• Patient preparation room • Patient waiting area• Report room (with secondary imaging workstation) • Film printer or laser film printer area

Page 20: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 20

Room shielding

• Workload

• Protective barriers

• Protective clothing

2.5 Gy/1000 mAs-scan

Typical scatter dose distribution around a CT scanner

Page 21: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 21

• Workload (W): The weekly workload is usually expressed in milliampere minutes.• The workload for a CT is usually very high

• Example:

6 working day/week, 40 patients/day, 40 slices/patient,

200 mAs/slice, 120 kV

• Primary beam is fully intercepted by the detector assembly. Barriers are interested only by scattered radiation

mAmin/week32000W 60200.40.40.6

Protective barriers

Page 22: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 22

Scattered radiation

Typical maximum scatter radiation around a CT : Sct= 2.5 Gy/mAmin-Scan @ 1 meter and 120 kV.

This quantity may be adopted for the calculation of protective barriers

The thickness S is otained from the attenuation curve for the appropriate attenuation material assuming scattered photons with the same penetrating capability of those of useful beam

Example: 120 kV; P = 0.04 mSv/week,

dsec= 3 m, W= 32000 mAmin/week, T= 1

Requires 1.2 mm of lead or 130 mm of concrete

TWS)(dP

uX ct

2secK

0.0045(1)(0.0025)(32000)(3.0)0.04

uX

2

K

Secondary barrierdsec

Computation of secondary protective barriers

Page 23: RADIATION PROTECTION IN DIAGNOSTIC RADIOLOGY

IAEA 12.1 : Shielding and X-ray room design 23

Where to Get More Information

• National Council on Radiation Protection and Measurements “Structural Shielding Design for Medical X Rays Imaging Facilities” 2004 (NCRP 147)