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What is radiation protection?
Physical, technical and procedural factor involved in protecting both patients and personnel from unjustified radiation exposure.
Requires understanding of the biological effects of radiation
What is the absorbed dose
the amount of energy absorbed per unit mass
responsible for biological damage
expressed in grays (GY)
Rad (radiation absorbed dose)
traditional unit of absorbed dose
Safe operating procedures
technique charts
positioning aids
protective clothing
personnel dosimetry
quality control
True or False
Can all living cells be damaged by ionizing radiation
true
Categories of biological damage
somatic and genetic
What are the biological effects of a threshold relationship
a point where a response to an increasing stimulus first occurs
biologic effects are observed only when the threshold is reached
What are the biological effects of a non- threshold relationship
any radiation dose has the potential to produce a biological effect
no radiation dose is believed to be safe
What is deterministic
Not random, will happen
What is stochastic
random, probabilistic
What are deterministic effects of radiation
biologic somatic effects of ionizing radiation that can be directly related to the dose received
have a threshold
Examples of deterministic effects
erythema (skin burns)
sterility
cataracts
What is stochastic effects of radiation
Probability of occurrence increases with dose
regarded as the main health risk from low dose radiation
Stochastic effects examples
chance of radiation induced leukemia is considerably greater after an exposure to a dose at 100 rad then at 1 rad but there will be no difference in the severity of the disease if it occurs
What are the fundamental principles of radiation protection
Net benefit
ALARA
dose limits
Describe Net Benefits of Principles of radiation protection
benefit vs risk, justify radiation exposure
medical exposure to radiation should be some benefit to individual
What does ALARA stand for
as low as reasonably achievable
What are dose limits
Dose limits are a quantity or amount of radiation exposure that must not exceed
pertains to doses received by an individual on a yearly basis or accumulated over a working lifetimes
intended to reduce probability of biological effects
What is occupationally exposed vs others
those individuals who are exposed at work vs others which includes members of the general population, excluding those who undergo medical exposure
What unit is occupational and other exposure expressed in
sieverts (Sv)
What are the cardinal principles of radiation protection
minimize time
maximize distance
maximize shielding
Describe cardinal principle 1: minimize exposure
exposure - exposure rate x exposure time
direct relationship- as exposure time increases, so does radiation dose received
reducing time serves to reduce motion blur
Describe cardinal principle 2: maximize distance
most effective means of protection from ionizing radiation
inverse square law- radiation intensity is inversely related to the square of the distance from the source
formula for inverse square law
-I 1/ I 2 = D2(²)/ D1(²)
Describe cardinal rule 3: maximizing sheilding
certain material reduce rad intensity when they are placed between source and exposed individual
made of lead and concrete
What is a primary protective barrier
a barrier is struck by primary or direct radiation
what is secondary protective barrier
provides shielding from scatter and leakage of radiation
Different types of shielding
gonadal shielding
personnel shielding
room shielding
x-ray tube shielding
What are the personnel protection techniques
filtration
technical factors
what is the filtration technique for personnel protection techniques
reduces amount of low energy photons that reach the patient
reduces scatter
what is the technical factor technique for personnel protection techniques
as energy of beam increases, radiation scatter moving in forward direction increases
amount of side scattered radiation is decreased
What are the personnel protection techniques using image receptors
high speed image receptors
correct processing
how does high speed image receptors assist in personnel protection technique using image receptors
less mA required
fewer photons available to produce scatter
How does correct processing assist personnel protection techniques using image receptors
reduce repeat exposures
reduces chance for personnel exposure