Radiation Monitoring Flashcards

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1
Q

RADIATION MONITORING

  • Radiographer subjected to chronic ___ doses of radiation
  • Protection measures important to ___ effects
  • Methods of ___ patient dose also useful in ___ technologist ___
  • Risks of damage to our ___ and our ___
  • Purpose of personnel protection is to reduce the ___ of these effects
A

RADIATION MONITORING

  • Radiographer subjected to chronic low doses of radiation
  • Protection measures important to minimize effects
  • Methods of reducing patient dose also useful in reducing technologist exposure
  • Risks of damage to our cells and our offspring
  • Purpose of personnel protection is to reduce the possibility of these effects
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2
Q

REVIEW OF EARLY AND LATE EFFECTS

  • EARLY EFFECTS–those effects that appear within ___, ___ to ___ post exposure especially to ___ doses
  • Includes:
  • ___ cell ___
  • Skin ___
  • ___ or alopecia
  • ___ damage
  • Impaired ___ function
  • ___
  • Doses in diagnostic range not ___ enough to cause these effects
  • LATE EFFECTS–occur ___ to ___ post exposure
  • Include ___ and ___ effects
  • Exposure to intermittent ___ doses over ___ period of time occurs in radiology
  • Dose ___ are followed to ___ possibility of early and late effects
A

REVIEW OF EARLY AND LATE EFFECTS

  • EARLY EFFECTS–those effects that appear within minutes, days to weeks post exposure especially to high doses
  • Includes:
  • Blood cell depression
  • Skin Erythema
  • Epilation or alopecia
  • Chromosome damage
  • Impaired gonadal function
  • Death
  • Doses in diagnostic range not high enough to cause these effects
  • LATE EFFECTS–occur months to years post exposure
  • Include cancer and genetic effects
  • Exposure to intermittent low doses over long period of time occurs in radiology
  • Dose limits are followed to reduce possibility of early and late effects
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3
Q

PERSONNEL MONITORING

  • Used to ensure exposure levels kept ___ ___ exposure limits
  • ___ when personnel are likely to receive ___% (__/__) of annual effective dose equivalent limit
  • Dosimetry is ___ of ___ radiation doses to personnel
A

PERSONNEL MONITORING

  • Used to ensure exposure levels kept below annual exposure limits
  • MANDATORY when personnel are likely to receive 10% (1/10) of annual effective dose equivalent limit
  • Dosimetry is measurement of ionizing radiation doses to personnel
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4
Q

PERSONNEL DOSIMETERS

  • Measure ___ radiation doses

4 main types of dosimeters

      1. 4.
A

PERSONNEL DOSIMETERS

  • Measure external radiation doses

4 main types of dosimeters

  1. Film badges
  2. Thermonluminescent Dosimeter (TLD)
  3. Pocket ionization chamber (pocket dosimeter)
  4. Optically Stimulated Luminescent Dosimeter (OSLD)
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5
Q

FILM BADGES

  • Consists of ___ piece of ___ in light ___ packet
  • Packet is placed ___ ___ holder and clipped to clothing of wearer
  • Changed every ___
  • Plastic holder houses filters made of ___ or ___ or ___
  • Allow measurement of ___ and ___ of radiation reaching the film
  • Cast ___ on film
  • Can determine if exposure was from ___ ___ or if it was ___ ___ to badge
  • Can also determine the ___ radiation reached film (___ to ___ or ___ to ___)
  • ___ radiation produces ___ image of ___ on film- radiation is received from many ___
  • ___ exposure from ___ beam produces more ___ if ___ on film
A

FILM BADGES

  • Consists of small piece of film in light tight packet
  • Packet is placed inside plastic holder and clipped to clothing of wearer
  • Changed every month
  • Plastic holder houses filters made of copper or aluminum or both
  • Allow measurement of dosage and energy of radiation reaching the film
  • Cast shadows on film
  • Can determine if exposure was from scattered radiation or if it was direct exposure to badge
  • Can also determine the direction radiation reached film (front to back or back to front)
  • Scattered radiation produces fuzzy image of filters on film- radiation is received from many angles
  • Single exposure from primary beam produces more sharper if filter on film
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6
Q

FILM BADGES

  • ___ badge is sent with each batch of film badges and must be kept in a ___ free environment
  • Processed and read
  • If any reading occurs on ___ badge, this reading is ___ from each badge in batch
  • Any exposure on control badge denotes that badges were ___ during shiping
  • If badge exposed to radiation, film responds by ___ upon ___
  • Films read with a ___–device used to measure ___ on film
  • Exposure values determined by using a ___ ___ (used to determine ___ and ___ of film)
  • Badge should be worn on ___ or at ___ level
  • If performing fluoroscopy, procedures badge should be worn at ___ level ___ lead apron
  • Should NOT be worn if having a ___ ___ done
  • Store away from radiation sources and ___ ___ and ___
A

FILM BADGES

  • Control badge is sent with each batch of film badges and must be kept in a radiation free environment
  • Processed and read
  • If any reading occurs on control badge, this reading is subtracted from each badge in batch
  • Any exposure on control badge denotes that badges were exposed during shiping
  • If badge exposed to radiation, film responds by darkening upon development
  • Films read with a densitometer–device used to measure density on film
  • Exposure values determined by using a characteristic curve (used to determine speed and contrast of film)
  • Badge should be worn on trunk or at collar level
  • If performing fluoroscopy, procedures badge should be worn at collar level outside lead apron
  • Should NOT be worn if having a medical procedure done
  • Store away from radiation sources and high heat and humidity
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7
Q

PROS AND CONS OF FILM BADGES

PROS

  • Measures ___, ___ and ___ radiations
  • Most ___
  • Permanent ___ ___
  • Can detect ___ or ___ exposure
  • ___

CONS

  • Susceptible to ___ caused by ___, ___ ___ and ___
  • ___ decreases with age
  • ___ record less than ___ mrem
A

PROS AND CONS OF FILM BADGES

PROS

  • Measures x-ray, beta and gamma radiations
  • Most economical
  • Permanent legal record
  • Can detect scatter or direct exposure
  • Durable

CONS

  • Susceptible to fog caused by temperature, light leaks and humidity
  • Accuracy decreases with age
  • Can’t record less than 10 mrem
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8
Q

OPTICALLY STIMULATED LUMINESCENT DOSIMETER (OSLD)

  • Landauer holds patent on LUXEL dosimeter
  • ___ ___ (Al2O3) plate inside ___ packet
  • Packet includes ___
  • After use the ___ ___ plate is stimulated with a ___ light, causing the plate to ___ light in ___ to the amount of exposure received
  • OSLD is able to detect exposures to ___, ___ and ___ radiations
  • Also able to detect ___ verses ___ exposure to badge
  • More ___ than film badge
  • Can detect exposure as ___ a __ mrem up to ___ mrem
A

OPTICALLY STIMULATED LUMINESCENT DOSIMETER (OSLD)

  • Landauer holds patent on LUXEL dosimeter
  • Aluminum Oxide (Al2O3) plate inside waterproof packet
  • Packet includes filters
  • After use the aluminum oxide plate is stimulated with a laser light, causing the plate to emit light in proportion to the amount of exposure received
  • OSLD is able to detect exposures to x-ray, beta and gamma radiations
  • Also able to detect scatter verses direct exposure to badge
  • More accurate than film badge
  • Can detect exposure as low a 1 mrem up to 1000 mrem
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9
Q

ADVANTAGES OF OSLD

  • Badge can be ___ to confirm accuracy
  • ___ shows any exposure from ___
  • Can detect exposure as ___ as __ mrem (__.__ mSv)
  • Can withstand ___, ___ and ___
  • Can be worn up to ___ ___
A

ADVANTAGES OF OSLD

  • Badge can be re-stimulated to confirm accuracy
  • Filter shows any exposure from scatter
  • Can detect exposure as low as 1 mrem (0.01 mSv)
  • Can withstand heat, moisture and pressure
  • Can be worn up to three months
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10
Q

THERMOLUMINESCENT DOSIMETERS (TLD)

  • MOST ___ dosimeter
  • Contains ___ ___ (___) or ___ ___ (___) crystal as radiation ___ material
  • When exposed to ionizing radiation, the ___ in crystal respond by ___ and becoming ___ at ___ levels
  • Crystals are ___ and as they are ___ the ___ return to their ___ state
  • As they do this, energy is given off in the form of ___
  • The amount of ___ emitted is proportional to the amount of ___ ___ by the wearer
  • TLD’s are found in ___ badges worn by ___ ___ technologists to measure exposure while handling ___
A

THERMOLUMINESCENT DOSIMETERS (TLD)

  • MOST ACCURATE dosimeter
  • Contains lithium fluoride (LiF) or Calcium Fluoride (CaF2) crystal as radiation sensing material
  • When exposed to ionizing radiation, the electrons in crystal respond by moving and becoming trapped at higher levels
  • Crystals are heated and as they are heated the electrons return to their original state
  • As they do this, energy is given off in the form of light
  • The amount of light emitted is proportional to the amount of radiation received by the wearer
  • TLD’s are found in ring badges worn by nuclear medicine technologists to measure exposure while handling isotopes
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11
Q

PROS AND CONS OF TLD’S

PROS

  • Most ___
  • Can be worn for ___ ___
  • ___ can be ___
  • Nearly ___ ___
  • More ___ than ___ badges

CONS

  • ___
  • No ___ can be done once ___ is ___
A

PROS AND CONS OF TLD’S

PROS

  • Most accurate
  • Can be worn for 3 months
  • Crystals can be reused
  • Nearly tissue equivalent
  • More sensitive than film badges

CONS

  • Cost
  • No re-reading can be done once crystal is reheated
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12
Q

POCKET DOSIMETERS

  • MOST ___ dosimeter type
  • Provide ___ reading–but must be ___ daily
  • Resembles a ___
  • Contains a ___ and___ ___
  • When dosimeter is exposed to radiation, a ___ is given off in dosimeter. Amount of ___ proportional to radiation ___
  • Amount of radiation received can be seen through ___ of dosimeter
A

POCKET DOSIMETERS

  • MOST SENSITIVE dosimeter type
  • Provide instant reading–but must be calibrated daily
  • Resembles a pen
  • Contains a positive and negative electrode
  • When dosimeter is exposed to radiation, a charge is given off in dosimeter. Amount of charge proportional to radiation received
  • Amount of radiation received can be seen through eyepiece of dosimeter
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13
Q

PROS AND CONS OF POCKET DOSIMETER

PROS

  • Provides ___ reading of radiation exposure
  • ___ and easy to ___

CONS

  • ___
  • Easily ___ which provides ___ reading
  • No ___ ___ record
A

PROS AND CONS OF POCKET DOSIMETER

PROS

  • Provides immediate reading of radiation exposure
  • Lightweight and easy to wear

CONS

  • Expensive
  • Easily discharged which provides false reading
  • No permanent legal record
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14
Q

SURVEY INSTRUMENTS

Two types:

  • ___ ___ ___ will detect ___ and ___ radiation
  • ___ ___ ___ ___ ___will detect ___, ___, ___ and ___ radiations.
A

SURVEY INSTRUMENTS

Two types:

  • Geiger-Muller Detector will detect alpha and beta radiation
  • Ionization Chamber-Type Survey Meter will detect X-ray, gamma, alpha and beta radiations.
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15
Q

DOSIMETRY REPORTS

  • Dosimeters collected on ___ basis
  • Sent to supplier for ___ and exposure ___
  • ___ sent out in approximately one month
  • ___ reviewed and posted in area where personnel can review

Information on report includes:

  1. ___ number
  2. Type of ___ worn
  3. ___, ___, ___ and ___ of wearer
  4. Exposure ___
  5. ___ Exposure
  6. Cumulative ___ exposure
  7. Cumulative ___ exposure
  8. ___ part of ___ ___ dose
A

DOSIMETRY REPORTS

  • Dosimeters collected on monthly basis
  • Sent to supplier for processing and exposure calculations
  • Report sent out in approximately one month
  • Report reviewed and posted in area where personnel can review

Information on report includes:

  1. ID number
  2. Type of monitor worn
  3. Name, social, DOB and sex of wearer
  4. Exposure period
  5. Current Exposure
  6. Cumulative quarterly exposure
  7. Cumulative annual exposure
  8. Unused part of permissible accumulated dose
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16
Q
  • Doses listed in mrems
  • Exposure listed as M = ___ or no ___ received
  • Should a person change place of employment, records should be ___
  • Any ___ must be ___ and person counseled by ___ and record kept in personnel file
  • Nature of overexposure should be ___
  • Guidelines for exposures determined by ___ and/or ___ ___ committee
A
  • Doses listed in mrems
  • Exposure listed as M = minimal or no exposure received
  • Should a person change place of employment, records should be transferred
  • Any overexposure must be documented and person counseled by RSO and record kept in personnel file
  • Nature of overexposure should be determined
  • Guidelines for exposures determined by RSO and/or radiation safety committee
17
Q

OTHER DUTIES OF RSO

  • ​Recommendation is that the RSO be a certified ___
  • ODH uses term ___ ___ ___ (___) and ___ ___ ___ ___(___)

Duties may include:

          1. 6.
A

OTHER DUTIES OF RSO

  • ​Recommendation is that the RSO be a certified physicist
  • ODH uses term Certified Radiation Expert (CRE) and Individual Responsible for Radiation Protection (IRRP)

Duties may include:

  1. Receiving, distribution, disposal of radioactive material
  2. Conducting equipment surveys
  3. Monitoring personnel and areas
  4. Designing protective shielding
  5. Responding to radiation emergencies
  6. Radioactive spill decontamination
18
Q
A
19
Q

RADIATION SURVEY INSTRUMENTS AND AREA MONITORING

Types of instruments

  • ___-___ radiation survey instruments
  • ___ ___-___ survey meter (___ ___)
  • ___ counter
  • ___-___ (___) detector
  • ___ ranges and ___ of each device
  • ___ of each device
A

RADIATION SURVEY INSTRUMENTS AND AREA MONITORING

Types of instruments

  • Gas-filled radiation survey instruments
  • Ionization chamber-type survey meter (cutie pie)
  • Proportional counter
  • Geiger-Muller (GM) detector
  • Sensitivity ranges and uses of each device
  • Components of each device
20
Q

INSTRUMENTS USED TO MEASURE X-RAY EXPOSURE IN RADIOLOGY

  • ___ ___ can be used to measure the radiation ___ from both ___ and ___ x-ray equipment.
  • A “___ ___” ___ ___ is also used for radiation protection surveys.
  • Both the ___ ___ and the ___ system must be ___ periodically to meet state and federal requirements for patient dose evaluation.
  • ___ ___ use ___ ___ connected to ___ to perform standard measurements required by state, federal, and health accreditation organizations for ___ and ___ devices.
A

INSTRUMENTS USED TO MEASURE X-RAY EXPOSURE IN RADIOLOGY

  • Ionization chambers can be used to measure the radiation output from both radiographic and fluoroscopic x-ray equipment.
  • A “cutie pie” ionization chamber is also used for radiation protection surveys.
  • Both the ionization chamber and the electrometer system must be calibrated periodically to meet state and federal requirements for patient dose evaluation.
  • Medical physicists use ionization chambers connected to electrometers to perform standard measurements required by state, federal, and health accreditation organizations for radiographic and fluoroscopic devices.