-
The amount of ionization produced by photons in air per unit of mass of air:
- Exposure
- 1R = 2.58 x 10-4 C/kg
-
What are the units of measure for exposure?
- Roentgen and Coloumb of charge per kilogram of air
- 1R = 2.58 x 10-4 C/kg
-
What are the units of measure for absorbed dose?
- Rad and Gray
- 1 Gy = 100 rad
- 1 rad = .01 Gy
-
What takes in to account the fact that different types of radiation produce different amounts of biologic damage?
Dose Equivalent
100 rem = 1 Sv
-
What are the units of measure for dose equivalent?
- Rem and Sievert
- 100 rem = 1 Sv
-
What are the units of measure for activity?
- Curie (Ci) and Becquerel (Bq)
- 1 Ci = 3.7 x 1010 Bq
-
The rate at which a radioactive isotope undergoes nuclear decay:
- Activity
- 1 Ci = 3.7 x 1010 Bq
-
The energy absorbed per unit mass of any material:
Absorbed Dose
1Gy = 100rad
-
Effects that have no threshold and for which the probability of occurrence is a function of dose.
Stochastic
-
Effects for which a threshold exists and for which the severity of the effect increases with dose.
Nonstochastic
-
LD50/30
- 4.5 Gy (450 rads)
- Lethal Dose 50% of the population / 30 days of the event
-
A measure of the genetic risk to a population as a whole from exposure to ionizing radiation of some or all members of that population:
- Genetically Significant Dose (GSD)
- measured in rem or Sievert
-
Dose equivalent to the gonads weighted for the age and sex distribution in those members of the irradiated population expected to have offspring.
- Genetically Significant Dose (GSD)
- measured in rem or Sievert
-
☆What is the formula used to calculate a person's cumulative exposure dose limit?
☆10 mSv X age in years
-
Shielding is measured in terms of:
Half value layers
-
The amount of material needed to reduce radiation exposure to half it's original value:
Half Value Layer
-
*What is the effective dose equivalent limit for stochastic effects?
* Effective Dose Equivalent limit for Stochastic Effects:
50 mSv (5rem)
-
*What is the dose equivalent limits for tissues & organs such as red bone marrow, breast, lung, gonads, skin & extremities? (nonstochastic effect)
- Dose Equivalent Limit for Tissues & Organs
- (Nonstochastic Effects)
500 mSv (50rem)
-
*What is the dose equivalent limit for the lens of the eye? (nonstochastic effects)
Dose Equivalent Limit for Lens of the Eye (Nonstoctastic)
150 mSv (15rem)
-
Public annual effective dose equivalent limit for continuous or frequent exposure:
1 mSv (.1 rem)
-
Public annual effective dose equivalent for infrequent exposure:
5 mSv (.5 rem)
-
What is the total dose equivalent limit for the fetus?
- Fetus - total
- 5 mSv ( .5 rem)
-
What is the dose equivalent in a month for the fetus?
- Fetus - month
- 0.5 mSv (.05 rem)
-
The NCRP recommends that the annual effective dose equivalent limit for the genreal population be ____ for those frequently exposed and ____ for those infrequently exposed.
- Frequent: 1 mSv (.1rem)
- Infrequent: 5mSv (.5rem)
-
Regulatory agencies require individuals to be monitored if it is expected that _____ of the effective dose equivalent limit will be exceeded.
10%
-
What are the three purposes of monitoring radiation doses received by individual radiation workers?
- 1. It allows the worker to know how much radiation they are receiving.
- 2. It allows the facility safety officer to determine whether certain areas or workers are receiving more than expected.
- 3. It provides a permanent record of radiation received.
-
The overall accuracy of the film badge is approx:
+ 20%
-
What kinds of personnel monitors are sent out to be read?
- TLDs and Film badges are sent out to be read.
- OSLs are sent out to be read but can be re-stimulated numerous times to confirm accuracy.
-
What kind of personnel monitors use laser light to stimulate rearrangement of electrons trapped in aluminum oxide (Al2O3) when irradiated?
Optically Stimulated Luminescence (OSL) dosimeters
-
Are OSL dosimeters more or less sensitive than film badges?
More
-
What are the minimum readings of the film badge and the OSL dosimeter?
OSL minimum reading: 1mrem
Film badge minimum reading: 10mrem
-
OSL dosimeters are capable of a precision of ______.
+ 1 mrem
-
Luxel dosimeters are used for:
X-rays, gamma rays, & beta radiation
-
The ________ dosimeter allows for differentiation of a single exposure or continous exposure over days or weeks.
Luxel
-
______ the distance from the souce reduces the exposure to _____ its original level.
-
_______ is the most important method for protection of operators & members of the general public.
Shielding
-
The choice of shielding material depends on the:
Energy of the beam
-
________ is the preferred material for superficial units because it is more effective than concrete or steel at stopping photons at low energies at which photoelectric collisions dominate.
Lead
-
All materials _______ ______ equally gram for gram for higher energies at which Compton interactions dominate.
Attenuate radiation
-
The number of patients X the amount of radiation for each
Workload (W)
-
The fraction of time the beam is aimed at a particular wall:
Primary Beam Use Factor (U)
-
The fraction of time an area will be occupied:
Occupancy Factor (T)
-
Distance from the source to the occupied area:
Distance (d)
-
The limit for the occupied area:
Effective Dose (P)
-
All walls (incl the door) are considered primary walls if _____ or _______ is used.
IMRT or Cyberknife
-
Areas where the general public are found:
- Uncontrolled areas
- ie. waiting rooms, stairs, hallways
-
For controlled areas, the occupancy factor (T) is always assumed to be _____
- equal to 1
- (this implies that a worker is always present)
-
Caution: High Radiation Area
1 mSv in 1 hour (100 mrem 1 hour)
-
Grave Danger: Very High Radiation Area
5 Gy in 1 hour (500 cGy in 1 hour)
-
"Beam On" warning lights are required on:
(3)
- The control panel
- At the entrance door
- The treatment unit itself
-
The Cobalt 60 unit is required to have an additional warning light on the _____ of the unit that should be illuminated whenever the unit is energized.
Head
-
Entrance doors to therapy rooms must be equipped with ______ that will shut off the machine if the door is _____ during the treatment.
-
Regulations require that ______ and ______ communication must be maintained with the patient at all times.
- Visual (closed circuit tv monitors)
- Audio
-
High energy therapy units are required to have an independent ______ _______ in the therapy room to alert the therapist to exposure if they enter the room
Beam-On Monitor
-
The independent "beam-on" monitor must have a provision for ________ in the event of an electrical failure and ________
be connected to the therapy machine in any way.
- Battery Operation
- Must Not
-
-
In case of an emergency, the therapist must be concerned first with the care of the _______.
the Patient
-
The video and audio communication systems must be tested _______
Every Day
-
Testing of the ________ may cause harm to the treatment unit, so manufacturers recommendations should be followed carefully.
Emergency off buttons
-
A license from the NRC (or an agreement state) is required to _______, _____ and ______ live sources.
-
Brachytherapy sources may only be obtained from Facilities or Firms _________ to distribute them.
Facilities or Firms licensed to distribute them
-
Sources must be stored in ______ ______ ______ in an area secure from theft or loss .
- Heavily shielded safes
- "pigs"
-
Before an implant is prepared, a _________ must be completed by the requesting physician and certification must be made that the implant was assembled in accordance with the _________.
- Written Directive
- Directive
-
Anytime sources are removed or returned, a ____ _____ must be made and a complete ______ performed.
-
Inventories of brachytherapy sources are required at least _______, even if no sources have been removed from or returned to the safe.
Weekly
-
If brachytherapy sources must be transported through a hospital, the route is planned ahead to minimize the:
- Exposure to other hospital personnel & the general public
- (ie. avoid the NICU, busy waiting areas)
-
While ______ in care of the brachytherapy patient should wear a personnel monitor, _________ need to receive radiation safety instructions but are not required to wear a personnel monitor..
- Nurses
- Ancillary Staff/Personnel (maintenance, housekeeping)
-
The entrance door to a brachytherapy patient's room must be posted with a:
Caution Sign
-
Visitation for a brachytherapy patient should be limited to:
20 minutes per visitor per day.
-
When visiting a brachytherapy patient, visitors must remain behind a line established by the:
Radiation Safety Officer
-
The brachytherapy patient has warning signs posted on the patient's _______, _______, and _______ to avoid inadvertant exposure.
-
A _________ of all the contents of the patient's room must be completed before they are discharged to ensure that eveything contaminated is accounted for.
Survey / Inventory
-
Because it is possible for the material encapsulating the radioactive material in implant sources to sustain damages and leak, brachytherapy sources must be leak tested at intervals:
Not to exceed 6 month
-
Leak tests must be performed on cobalt-60 units:
Every 6 months
-
______ sources are NOT to be handled under any circumstances
HDR sources
-
A wall that is struck by the useful beam is considered a _______ wall.
Primary wall
-
What are the factors that determine the necesary barrier thickness?
(5)
- Workload (w)
- Primary beam use factor for each wall (u)
- Occupancy factor (T)
- Distance (d)
- Effective dose
-
A wall that is struck by scatter radiation or leakage radiation:
a Secondary wall
-
While pregnant, the therapist should wear:
- an Extra Monitor
- one at the level of the collar and one at the level of her waist as a fetal monitor.
-
QA of Simulators:
All are ________ except for_________
All are +/- 2 except for:
Monthly Gantry/Collimator Angle Indicators +/-1°
-
QA of CT Simulators:
All are ________ except for_________
All are +/-2 except for:
Monthly Table Vertical & Longitudinal +/-1
-
QA of LINACS:
All are _____ except for:
(4 items)
- All are +/-2 except for:
- 1. Daily Dosimetry X-ray & Electron Output constancy 3%
- 2. Monthly Dosimetry Electron Beam Flatness Constancy 3%
- 3. Monthly Dosimetry X-Ray & Electron Symmetry 3%
- 4. Monthly Gantry/Collimator Angle
- Indicators 1°
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