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RADIATION PROTECTION IN DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY L 1: Overview of Radiation Protection in Diagnostic Radiology IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
Introduction ,[object Object],[object Object],[object Object],[object Object]
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Overview ,[object Object]
Part 1: Overview of Radiation Protection in Diagnostic Radiology Topic 1: Definition of medical exposure IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
[object Object]
Medical exposure versus occupational
My resident doctor has got 12 mSv in her last badge report as she was wearing the badge while getting her barium study. She wants off from radiation work. ?????
While holding his child in diagnostic examination Mr. Joseph got 2 mSv.  As a member of the public with 1 mSv dose limit, he can not get any radiation dose this year. ???????
Dose constraints for  Comforters under a category of  Medical exposure
Three types of exposure ,[object Object],[object Object],[object Object]
Medical exposure ,[object Object],[object Object],[object Object],[object Object]
Framework of radiological protection for medical exposure ,[object Object],[object Object],[object Object],[object Object]
  Part 1: Overview of Radiation Protection in Diagnostic Radiology  Topic 2:  Justification IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
The justification of a practice ,[object Object],[object Object],[object Object],[object Object]
Three levels of justification ,[object Object],[object Object],[object Object]
Generic justification (I) ,[object Object],[object Object],[object Object],[object Object]
Generic justification (II) ,[object Object],[object Object]
Generic justification (III) ,[object Object]
Justification for an individual patient (third level) ,[object Object],[object Object],[object Object]
  Part 1: Overview of Radiation Protection in Diagnostic Radiology  Topic 3: Optimization IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
The optimization of protection (I) ,[object Object],[object Object],[object Object],[object Object],[object Object]
The optimization of protection (II) ,[object Object],[object Object],[object Object],[object Object]
Part 1: Overview of Radiation Protection in Diagnostic Radiology Topic 4: Guidance (or reference) levels - practical aspects IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
Guidance level for medical exposure (as defined by the BSS) ,[object Object]
Guidance level for medical exposure (as defined by the BSS) ,[object Object],[object Object],[object Object],[object Object]
Guidance level for medical exposure (as defined by the BSS) ,[object Object],[object Object],[object Object]
Guidance level for medical exposure (as defined by the BSS) ,[object Object]
Dose constraints for medical exposure ,[object Object]
Dose constraints ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PUBLIC - Optimization under Constraints ,[object Object],[object Object],[object Object],[object Object],[object Object]
Guidance (or reference) levels ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Guidance (or reference) levels Practical aspects (I) ,[object Object],[object Object],[object Object],[object Object]
Guidance (or reference) levels Practical aspects (II) ,[object Object],[object Object],[object Object]
Guidance (or reference) levels Practical aspects (III) ,[object Object],[object Object],[object Object]
  Part 1: Overview of Radiation Protection in Diagnostic Radiology  Topic 5: Guidance levels and effective doses IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
Guidance levels for diagnostic radiography (typical adult patient) 10 Abdomen, IVU and cholecystography AP 40 Lumbar spine LSJ 30 Lumbar spine LAT 10 Lumbar spine AP Entrance surface dose per radiograph (mGy) Examination
Guidance levels for diagnostic radiography (typical adult patient) 1.5 Chest LAT 0.4 Chest PA 10 Hip joint AP 10 Pelvis AP Entrance surface dose per radiograph (mGy) Examination
Guidance levels for diagnostic radiography (typical adult patient) 5 Dental AP 7 Dental peri-apical 20 Thoracic spine LAT 7 Thoracic spine AP Entrance surface dose per radiograph (mGy) Examination
Guidance levels for diagnostic radiography (typical adult patient) Dose values are in air with backscatter. They are for conventional film-screen combination (200 speed class). For higher speed film-screen combinations (400-600), the values should be reduced by a factor of 2 to 3. 3 Skull LAT 5 Skull AP Entrance surface dose per radiograph (mGy) Examination
Dose guidance levels in CT  (typical adult patient) 35 Lumbar spine (a)  Derived from measurements on the axis of rotation in water equivalent phantoms, 15 cm in length and 16 cm (head) and 30 cm (lumbar spine and abdomen) in diameter. 25 Abdomen 50 Head Multiple scan average dose (mGy) (a) Examination
Dose guidance levels for mammography (typical adult patient) Determined in a 4.5 cm compressed breast consisting of 50% glandular and 50% adipose tissue, for film-screen systems and dedicated Mo-target/Mo-filter mammography units. 1 mGy (without grid 3 mGy (with grid) Average glandular dose per craniocaudal projection
Dose rate guidance levels for fluoroscopy (typical adult patient) (a)  In air with backscatter (b)  For fluoroscopes that have an optional 'high  level' operational mode, such as those  frequently used in interventional radiology 100 High Level (b) 25 Normal Entrance surface dose (mGy/min) (a) Operation Mode
Typical effective doses from diagnostic medical exposures From: Referral Criteria For Imaging. CE, 2000. 7 months 4 months 11 days 3 days Approx. equiv. period of natural background radiation 1.3 0.7 0.07 0.02 Typical effective dose (mSv) 65 Lumbar spine 35 Thoracic spine 3.5 Skull 1 Chest (single PA film) Equiv. no. of chest x-rays Diagnostic procedure
Typical effective doses from diagnostic medical exposures From: Referral Criteria For Imaging. CE, 2000. 14 months 6 months 4 months 7 weeks Approx. equiv. period of natural background radiation 2.5 1.0 0.7 0.3 Typical effective dose (mSv) 125 IVU 50 Abdomen 35 Pelvis 15 Hip Equiv. no. of chest x-rays Diagnostic procedure
Typical effective doses from diagnostic medical exposures From: Referral Criteria For Imaging. CE, 2000. 3.2 years 16 months 16 months 6 months Approx. equiv. period of natural background radiation 7 3 3 1.5 Typical effective dose (mSv) 350 Barium enema 150 Barium follow through 150 Barium meal 75 Barium swallow Equiv. no. of chest x-rays Diagnostic procedure
Typical effective doses from diagnostic medical exposures From: Referral Criteria For Imaging. CE, 2000. 4.5 years 3.6 years 1 year Approx. equiv. period of natural background radiation 10 8 2.3 Typical effective dose (mSv) 500 CT Abdomen or pelvis 400 CT chest 115 CT head Equiv. no. of chest x-rays Diagnostic procedure
Investigation of  exposure  (B.S.S. II.29) ,[object Object],[object Object],[object Object]
Investigation of  exposure  (B.S.S. II.30) ,[object Object],[object Object],[object Object],[object Object]
Investigation of  exposure  (B.S.S. II.30) ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
Where to Get More Information ,[object Object],[object Object],[object Object]

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Radiation protection Overview

  • 1. RADIATION PROTECTION IN DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY L 1: Overview of Radiation Protection in Diagnostic Radiology IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
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  • 5. Part 1: Overview of Radiation Protection in Diagnostic Radiology Topic 1: Definition of medical exposure IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
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  • 7. Medical exposure versus occupational
  • 8. My resident doctor has got 12 mSv in her last badge report as she was wearing the badge while getting her barium study. She wants off from radiation work. ?????
  • 9. While holding his child in diagnostic examination Mr. Joseph got 2 mSv. As a member of the public with 1 mSv dose limit, he can not get any radiation dose this year. ???????
  • 10. Dose constraints for Comforters under a category of Medical exposure
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  • 14. Part 1: Overview of Radiation Protection in Diagnostic Radiology Topic 2: Justification IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
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  • 21. Part 1: Overview of Radiation Protection in Diagnostic Radiology Topic 3: Optimization IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
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  • 24. Part 1: Overview of Radiation Protection in Diagnostic Radiology Topic 4: Guidance (or reference) levels - practical aspects IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
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  • 36. Part 1: Overview of Radiation Protection in Diagnostic Radiology Topic 5: Guidance levels and effective doses IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
  • 37. Guidance levels for diagnostic radiography (typical adult patient) 10 Abdomen, IVU and cholecystography AP 40 Lumbar spine LSJ 30 Lumbar spine LAT 10 Lumbar spine AP Entrance surface dose per radiograph (mGy) Examination
  • 38. Guidance levels for diagnostic radiography (typical adult patient) 1.5 Chest LAT 0.4 Chest PA 10 Hip joint AP 10 Pelvis AP Entrance surface dose per radiograph (mGy) Examination
  • 39. Guidance levels for diagnostic radiography (typical adult patient) 5 Dental AP 7 Dental peri-apical 20 Thoracic spine LAT 7 Thoracic spine AP Entrance surface dose per radiograph (mGy) Examination
  • 40. Guidance levels for diagnostic radiography (typical adult patient) Dose values are in air with backscatter. They are for conventional film-screen combination (200 speed class). For higher speed film-screen combinations (400-600), the values should be reduced by a factor of 2 to 3. 3 Skull LAT 5 Skull AP Entrance surface dose per radiograph (mGy) Examination
  • 41. Dose guidance levels in CT (typical adult patient) 35 Lumbar spine (a) Derived from measurements on the axis of rotation in water equivalent phantoms, 15 cm in length and 16 cm (head) and 30 cm (lumbar spine and abdomen) in diameter. 25 Abdomen 50 Head Multiple scan average dose (mGy) (a) Examination
  • 42. Dose guidance levels for mammography (typical adult patient) Determined in a 4.5 cm compressed breast consisting of 50% glandular and 50% adipose tissue, for film-screen systems and dedicated Mo-target/Mo-filter mammography units. 1 mGy (without grid 3 mGy (with grid) Average glandular dose per craniocaudal projection
  • 43. Dose rate guidance levels for fluoroscopy (typical adult patient) (a) In air with backscatter (b) For fluoroscopes that have an optional 'high level' operational mode, such as those frequently used in interventional radiology 100 High Level (b) 25 Normal Entrance surface dose (mGy/min) (a) Operation Mode
  • 44. Typical effective doses from diagnostic medical exposures From: Referral Criteria For Imaging. CE, 2000. 7 months 4 months 11 days 3 days Approx. equiv. period of natural background radiation 1.3 0.7 0.07 0.02 Typical effective dose (mSv) 65 Lumbar spine 35 Thoracic spine 3.5 Skull 1 Chest (single PA film) Equiv. no. of chest x-rays Diagnostic procedure
  • 45. Typical effective doses from diagnostic medical exposures From: Referral Criteria For Imaging. CE, 2000. 14 months 6 months 4 months 7 weeks Approx. equiv. period of natural background radiation 2.5 1.0 0.7 0.3 Typical effective dose (mSv) 125 IVU 50 Abdomen 35 Pelvis 15 Hip Equiv. no. of chest x-rays Diagnostic procedure
  • 46. Typical effective doses from diagnostic medical exposures From: Referral Criteria For Imaging. CE, 2000. 3.2 years 16 months 16 months 6 months Approx. equiv. period of natural background radiation 7 3 3 1.5 Typical effective dose (mSv) 350 Barium enema 150 Barium follow through 150 Barium meal 75 Barium swallow Equiv. no. of chest x-rays Diagnostic procedure
  • 47. Typical effective doses from diagnostic medical exposures From: Referral Criteria For Imaging. CE, 2000. 4.5 years 3.6 years 1 year Approx. equiv. period of natural background radiation 10 8 2.3 Typical effective dose (mSv) 500 CT Abdomen or pelvis 400 CT chest 115 CT head Equiv. no. of chest x-rays Diagnostic procedure
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