Radiation Safety and Dosimetry Flashcards
Typical doses from medical exposures:
Extremity XR
<0.01 mSv
Typical doses from medical exposures:
CXR
0.02 mSV
Typical doses from medical exposures:
Lumbar spine
1.3 mSv
Typical doses from medical exposures:
Barium enema
7 mSV
Typical doses from medical exposures: CT head
2mSV
Typical doses from medical exposures: CT chest
8mSV
Typical doses from medical exposures: CTAP
10 mSv
Typical doses from medical exposures: Lung perfusion scan NM
1mSv
Typical doses from medical exposures: Bone scan NM
4 mSV
Typical doses from medical exposures: FDG PET scan
8 mSV
What foetal radiation dose will double the natural risk of paediatric cancer?
25mSV
What is the excess childhood cancer risk? (compared to adults) per msv
1 in 13,000 per mSv
Cancer risk is 1 in _____ for 1mSv exposure (adults)
Cancer risk is 1 in 20,000 for 1mSv exposure (population risk)
Units of absorbed dose?
mGy
mGy = 1miliJoule /kg
Units of equivalent dose?
mSv
Units of effective dose?
mSv
How is equivalent dose calculated?
Absorbed dose x radiation weighting factor (H=D*WR)
Radiation Weighting factor of XR/ gamma ray
1
Radiation Weighting factor of electrons/positrons
1
Radiation Weighting factor of Protons
5
What are the 2 ways DNA can be damaged?
- Indirect - damage caused by free radicals from radiolysis of water molecules (most common)
- Direct - radiation ionises molecules within the DNA molecule
How is absorbed dose calculated
radiation energy deposited in a medium/ the mass of the medium (D = E/m)
Tissue weighting factor:
bone marrow, breast, colon stomach
0.12
Tissue weighting factor:
Gonads
0.08
Tissue weighting factor:
Bladder, liver, oesophagus, thyroid
0.04
Tissue weighting factor:
Brain, bone, skin, salivary glands
0.01
Tissue weighting factor:
‘remainder’ organs
0.12
Effective dose can be directly measured (T/F)
False - it can only be calculated
What does effective dose tell you?
Estimates the overall radiation detriment (risk) from a medical procedure
What does DNA damage result in? (3)
- No biological effect
- Cell death
- Cell mutation
Deterministic effects are due to cell mutation (T/F)
False - they are due to cell death
Deterministic effects occur quite soon after exposure (T/F)
True
Deterministic effects only appear above a threshold dose (T/F)
True
Examples of deterministic effects (5)
- cataract formation
- skin erythema/ulceration/necrosis
- Bone marrow suppression
- Sterility
- Death
Deterministic effects thresholds: Bone marrow- depression of cell production
0.5 Gy
Deterministic effects thresholds: skin erythema
2 Gy
Deterministic effects thresholds: skin necrosis
10Gy
Deterministic effects thresholds: cataract formation
0.5 Gy
Deterministic effects thresholds: testes temporary sterility
0.15 Gy
Deterministic effects thresholds: Ovaries
2.5
Stochastic effects severity is dose dependent (T/F)
False - they are not dose dependent, probability of effect increases with dose
Cancer induction is the main concern for stochastic effects (T/F)
True
Unborn child radiation risks (4)
- Death
- Organ malformation
- Mental retardation
- Increased risk of childhood cancer
External radiation protection - Distance.
Define inverse square law
Doubling your distance from an XR source decreases you dose by a factor of 4
External radiation protection - Shielding
What percentage of the scattered beam do aprons absorb?
90% (note they absorbed scattered beam, not the primary beam)
Shielding materials for XR and gamma rays are made from low Z materials (T/F)
False - they are made from high Z materials eg lead and tungsten
A 0.25mm lead apron transmits around ???% of the photons
5%
Average background radiation is around ???mSv per year per person
2.2mSv
A trans-Atlantic flight confers around ???? of effective dose
0.08mSv
Radon gas decays by…?
alpha particle emission
Thickness of Lead aprons, to % of transmitted photons:
0.25mm = ???
0.35mm = ???
0.5mm = ???
0.25mm = 5%
0.35mm = 3%
0.5mm = 1.5%
IRR 17 states an employee must be classified if they…? (3)
- Whole body dose > 6mSv
- > 3/10s of dose limit to extremities (150mSv)
- > 15mSv to the eyes is likely
Average annual dose to public from medical procedures is…?
400uGy
Controlled area dose rate limit per hour per day?
> 7.5 uSv per hour per day
Which 4 organs have the same TWF?
Bladder, Liver, Thyroid and Oesophagus
Supervised area is where the dose to a person may exceed what dose per year…?
1mSv per year
Radiation Weighting factor of alpha particles
20
Effective dose equation
equivalent dose x tissue weighting factor
IRCP adopt the … model for stochastic radiation risk assessment
Linear no threshold model
Regarding irradiation during pregnancy:
At 0-3 weeks what is the mSv threshold risk of death
Death at 0-3 weeks
100mSV threshold
Regarding irradiation during pregnancy: during which weeks is there a risk of foetal organ malformation.
And
At what doses (mSv) do they NOT occur at
Organ malformation
- Risk Weeks 3-12
- Does not occur at <200mSv
Regarding irradiation during pregnancy: When is the most sensitive period for risk of mental retardation
Mental or physical retardation
- 8-25 weeks
What is the natural risk of paediatric cancer?
1 in 500
Low Z materials such as Al and Cu are used as(…) to preferentially (…)
Beam filters
Remove low energy x-rays from spectrum.
Low Z materials must be used to shield X or Y emitters…(what is x and y)
B- beta decay
positron emitters
e.g. plastic or glass.
x-y mm of plastic will typically absorb all z radiation
x = 10
y = 15
z = beta
Radiation dosimeters can absorb doses as low as…?
0.02mSv
Radiation dosimeters are made of crystals of…?
Lithium fluoride
100g of Brazil nuts confers an effective dose of around…?
0.01mSv
Regarding irradiation during pregnancy:
At >3 weeks what is the Sv threshold for foetal death
> 3 weeks
1-2 Sv threshold
(note SV not mSv)
Leakage radiation from xray tubes must not exceed what rate at 1 meter?
1mgy/hour
Radon gives an average dose per year of how many msV?
1.3mSv