TRS 457, Dosimetry in Diagnostic Radiology: An International Code of Practice

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1 TRS 457, Dosimetry in Diagnostic Radiology: An International Code of Practice Antti Kosunen Radiation Metrology Laboratory-STUK NCRRP and STUK Workshop on dosimetry in radiotherapy and in diagnostic radiology 6th and 7th of November, 2008 Sofia, Bulgaria RADIATION AND NUCLEAR SAFETY AUTHORITY

2 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 2

3 IAEA TRS 457, Scope and Objective RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 3

4 IAEA TRS 457, Work RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 4

5 IAEA TRS 457, Work RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 5

6 IAEA TRS 457, Work Implementation of the International Code of Practice on Dosimetry in Diagnostic Radiology (TRS 457): Review of testing results Coordinated Research Project on Implementation of the International Code of Practice on Dosimetry in Diagnostic Radiology TRS 457 at Secondary Standard Dosimetry Laboratories and Hospitals DRAFT OF June 2008 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 6

7 IAEA TRS 457, Chapter 1: Introduction RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 7

8 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 8

9 IAEA TRS 457, Chapter 2: Framework RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 9

10 IAEA TRS 457, Chapter 2: Framework ( 2sd ) Risk assessment : Absolute risk Dose surveys Relative risk Interventional procedures Quality assurance measurements Paediatric procedures 20 % 7 % RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 10

11 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 11

12 IAEA TRS 457, Chapter 3: Quantities and units RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 12

13 IAEA TRS 457, Chapter 3: Quantities and units RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 13

14 IAEA TRS 457, Chapter 3: Quantities and units New ICRP in 2007 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 14

15 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 15

16 IAEA TRS 457, Chapter 4: Dosimetry formalism N K based formalism Beam quality correction factor Cross calibrations Especially with KAP meters RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 16

17 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 17

18 IAEA TRS 457, Chapter 5: Selection of instruments RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 18

19 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 19

20 IAEA TRS 457, Chapter 6: Establisment of SSDLs RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 20

21 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 21

22 IAEA TRS 457, Chapter 7: CoP for calibrations at SSDLs RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 22

23 IAEA TRS 457, Chapter 7: CoP for calibrations at SSDLs RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 23

24 ...continues RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 24

25 IAEA TRS 457, Chapter 8: CoP for clinical measurements RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 25

26 IAEA TRS 457, Chapter 8: CoP for clinical measurements 8.1 Introduction Worksheets Dosimeters should be calibrated at the laboratory Calibration interval: Based on national requirements, Usually should not exceed two years RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 26

27 IAEA TRS 457, Chapter 8: CoP for clinical measurements 8.2 Patient selection Limitations of phantom measurements Patients for reference dose levels RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 27

28 IAEA TRS 457, Chapter 8: CoP for clinical measurements RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 28

29 IAEA TRS 457, Chapter 8: CoP for clinical measurements RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 29

30 IAEA TRS 457, Chapter 8: CoP for clinical measurements RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 30

31 IAEA TRS 457, Chapter 8: CoP for clinical measurements RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 31

32 IAEA TRS 457, Chapter 8: CoP for clinical measurements RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 32

33 IAEA TRS 457, Coordinated Research Project for Testing of the CoP Implementation of the International Code of Practice on Dosimetry in Diagnostic Radiology (TRS 457): Review of testing results Coordinated Research Project on Implementation of the International Code of Practice on Dosimetry in Diagnostic Radiology TRS 457 at Secondary Standard Dosimetry Laboratories and Hospitals DRAFT OF June 2008 RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 33

34 IAEA TRS 457, Coordinated Research Project for Testing of the CoP 1. Radiation and Nuclear Safety Authority (STUK), Finland 2. Greek Atomic Energy Commission (GAEC), Greece 3. Institut für Biomedizinische Technik und Physik, Austria 4. National Institute for Radiological Protection, China 5. National Radiation Protection Institute, Czech Republic 6. Frederic Joliot-Curie National Research Institute for Radiobiology, Hungary 7. Instituto de Radioprotecao e Dosimetria, Brazil 8. Dept. of Medical Sciences, Div. of Radiation and Medical Devices, Thailand 9. Institute of Nuclear Sciences and Technology, Vietnam 10. Centro de Proteccion e Higiene de las Radiaciones (CPHR), Cuba 11. Regional Medical Physics Department, Newcastle General Hospital, UK.... RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 34

35 IAEA TRS 457, Coordinated Research Project for Testing of the CoP Activity Activity 1 Setting-up of calibration beam qualities at SSDLs Activity 2 Development of calibration procedures including the uncertainty budget Activity 3 Comparison of calibrations Activity 4 Evaluation of measurement procedures in hospitals (a - i) report on phantoms and dosimeters available and capabilities to manufacture phantoms. (a - ii) implementation of measurement procedures in hospital incl. measurements with patients - report measurements in hospitals 4b TLD measurement of GR phantom Activity 5 Calibration of KAP meters - at SSDLs - at hospitals Activity 6 TLD dosimetry audit for diagnostic measurements Activity 7 Practical peak voltage RADIATION AND NUCLEAR SAFETY AUTHORITY / AK-STUK 35

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