Radiation Protection in Radiotherapy Safety Guide. Dr. Roslyn Drummond

Similar documents

TARGET YOUR FUTURE RADIATION ONCOLOGY

Basic Radiation Therapy Terms

There must be an appropriate administrative structure for each residency program.

Understanding brachytherapy

The Canadian National System for Incident Reporting in Radiation Treatment (NSIR-RT) Taxonomy March 2, 2015 V2

Medical Physicist Workforce Study

Radiation therapy involves using many terms you may have never heard before. Below is a list of words you could hear during your treatment.

The Center for Cancer Care. Comprehensive and compassionate care

First Three Years After Project Proton Therapy Facility:

Understanding INTRABEAM Intraoperative Radiation Therapy for Breast Cancer A patient guide

Skilled Occupation List (SOL)

RADIATION ONCOLOGY PRACTICE STANDARDS A TRIPARTITE INITIATIVE

Imaging Technology. Diagnostic Medical Sonographer, Dosimetrist, Nuclear Medicine Technologist, Radiation Therapist, Radiologic Technologist

GYNECOLOGIC CANCERS Facts to Help Patients Make an Informed Decision

Training Requirements for the Specialty of Radiation Oncology

PRINIPLES OF RADIATION THERAPY Adarsh Kumar. The basis of radiation therapy revolve around the principle that ionizing radiations kill cells

Albany Medical Center Chief Medical Physicist Radiation Oncology Imaging and Related Services

RADIATION THERAPY guide. Guiding you through your treatment

1. Provide clinical training in radiation oncology physics within a structured clinical environment.

Department of Radiation Oncology

Canadian Partnership for Quality Radiotherapy. Quality Assurance Guidelines for Canadian Radiation Treatment Programs

WHAT ARE THE SPECIFIC DIFFERENCES BETWEEN VERSION 5.5 AND VERSION 5.6 OF THE RESEARCH ETHICS COMMITTEE STANDARD APPLICATION FORM?

The practice of Clinical Technologists is divided into Clinical Physics and Clinical Engineering. They work in the following disciplines:

Preface to Practice Standards

Brachytherapy: Low Dose Rate (LDR) Radiation Interstitial Implant

3rd International Symposium of the System of Radiological Protection Seoul, Korea, October 2015

American Association of Physicists in Medicine

Professional Practice Standards for the Accredited Practitioner Revised 2013

Prostate Cancer. Treatments as unique as you are

Probe: Could you tell me about when?

Bonn Call-for-Action Joint Position Statement by the IAEA and WHO

1400 Telegraph Bloomfield Hills, MI Phone number/ fax Number CANCER TREATMENT

Medical Physics and Radioactivity

Medical Physics Residency Program Department of Radiation and Cellular Oncology The University of Chicago Chicago, IL 60637

FACULTY OF RADIATION ONCOLOGY THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF RADIOLOGISTS

Careers in Medical Physics

INTENSITY MODULATED RADIATION THERAPY (IMRT) FOR PROSTATE CANCER PATIENTS

Prostate Cancer Guide. A resource to help answer your questions about prostate cancer

Accreditation a tool to help reduce medical errors. Professor Arthur T Porter PC MD FACR FRCPC FACRO

Xxxxxxxxxxxxxxxxxxxxx. A guide for adult patients receiving Proton Beam Therapy abroad. Adult PBT Guide

Radiation Oncologists and Cancer Treatment Facilities Quick Reference Guide

Medicare s Physician Supervision Requirements. 1. Incident To Services in an Outpatient Hospital Setting (Section 1861(s)(2)(B));

Training in. Radiation Oncology. The Royal Australian and New Zealand College of Radiologists

Appendix II - Outpatient settings worksheets

Key Staff Members EXECUTIVE TEAM Nancy Price Mendenhall, MD Medical Director Stuart Klein, MHA Executive Director Zuofeng Li, DSc Physics Director

TRAINING PROGRAMMES IN RADIATION SAFETY CONDUCTED BY RADIOLOGICAL PHYSICS & ADVISORY DIVISION

Guide for families with children receiving Proton Beam Therapy abroad

RADIATION THERAPY & CANCER

Autoradiograph of Ra-223

Your Radiation Therapy at the Princess Margaret Hospital

The Brain and Spine CenTer

FAQ About Prostate Cancer Treatment and SpaceOAR System

Corporate Medical Policy Brachytherapy Treatment of Breast Cancer

at a critical moment Physician Suggestion Line...

Patient Guide. Brachytherapy: The precise answer for tackling breast cancer. Because life is for living

THE PRINCIPLE OF JUSTIFICATION

Radiation Protection Series

Nuclear medicine. Answering your questions

Radiation Oncology Centers Participating in MassHealth. Daniel Tsai, Assistant Secretary and Director of MassHealth

Stereotactic Radiotherapy for Prostate Cancer using CyberKnife

Patient Guide: Your Radiation Therapy Treatment

Advances in Lung Cancer: A Multidisciplinary Approach

Consultation. Review of the scopes of practice for registration in the profession of medical radiation technology

Accelerated Partial Breast Irradiation (APBI) for Breast Cancer [Preauthorization Required]

Information for patients and carers

METASTASES TO THE BONE

Bard: Prostate Cancer Treatment. Bard: Pelvic Organ Prolapse. Prostate Cancer. An overview of. Treatment. Prolapse. Information and Answers

Radiation Therapy. What to expect

Radiation Therapy for Cancer Treatment

The role, responsibilities and status of the clinical medical physicist in AFOMP

NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF ENVIRONMENTAL RADIATION PROTECTION EXTERNAL BEAM & BRACHYTHERAPY QUALITY ASSURANCE PROGRAM AUDIT FORM

Professional Doctorate Program in Medical Physics (DMP) University of Cincinnati. Program Assessment. August 2014

MEDICAL DOSIMETRY. COLLEGE OF APPLIED SCIENCES AND ARTS Graduate Faculty: therapy.

In 1946 Harvard physicist Robert Wilson ( ) suggested:

Oncology Programme. Oncology Programme August 2015 Page 1 of 15

Lung Cancer and Pleural Mesothelioma: Cleveland Clinic Multidisciplinary Approaches to Care

Questions to ask your doctor. about Prostate Cancer and selecting a treatment facility

E UROPEAN C URRICULUM V ITAE F ORMAT

Breast Health Program

PATIENT INFORMATION. Brachytherapy for Cancer of the Cervix

Proton Therapy in Singapore

Implementation Date: April 2015 Clinical Operations

Goals and Objectives: Breast Cancer Service Department of Radiation Oncology

Chapter 13. The hospital-based cancer registry

RADIATION THERAPY FOR BLADDER CANCER. Facts to Help Patients Make an Informed Decision TARGETING CANCER CARE AMERICAN SOCIETY FOR RADIATION ONCOLOGY

Division of Cancer Surgery Information Guide

Clinical Trials and Radiation Treatment. Gerard Morton Odette Cancer Centre Sunnybrook Research Institute University of Toronto

Interstitial Breast Brachytherapy

Objectives of Training in Radiation Oncology

Transcription:

Radiation Protection in Radiotherapy Safety Guide Dr. Roslyn Drummond

Radiotherapy The branch of clinical medicine which uses ionising radiation,either alone or in combination with other modalities,for the treatment of patients with cancer or other diseases. It includes responsibility for the diagnosis, treatment, follow up and supportive care of the patient as an integral of the multidisciplinary management of patients

ARPANSA in regulation of ionising radiation usage is ONLY concerned with RADIATION PROTECTION aspects of radiotherapy.

Potential for Harm from Therapeutic Radiation Exposure to: Those who benefit from the treatment (the patient) Health care staff Other staff Members of the public

Safety Guide Practice specific guidance Information to assist in achieving levels of protection mandated in the Code NOT mandatory Highly recommended

Code of Practice Radiation Protection in the Medical Applications of Ionising Radiation Radiation Protection Principles Justification Optimisation Dose Limits Responsibilities 1. Responsible Person 2. Medical Practitioner 3. Operator (Person administering the radiation ) ( Radiation Oncology Medical Physicist) (Radiation Safety Officer)

Justification Two Levels: 1. Practice justified in principle 2. Individual case justified Special Cases: Pregnant or potentially pregnant Children with cancer

Optimisation of Protection for The Code of Practice States Medical Exposures 2.2.2 Equipment and methods must be selected to ensure that radiation administered to a patient for: (b) therapeutic purposes; (i) is consistent with the intended radiotherapeutic purpose of the exposure: and (ii) will achieve the required dose(s) to the target tissue(s) with doses to non-target tissues as low as reasonably practical.

Optimisation in Radiotherapy Equals Attention to detail of all aspects of treatment planning and treatment delivery

Optimisation in Protection for Medical Exposures Safety Guide Advice 4. Optimisation of protection for Medical Exposures 5. Quality Assurance 7. Treatment Planning & Delivery 6. Radiation Incidents Annex D Equipment & Facilities Annex E Quantification of Error & Monitoring of Incidents in The Delivery of the Radiation Treatment Process

Dose Limits Safety Guide Advice 10. Radiation Monitoring & Radiation Levels 5. Quality Assurance 6. Radiation Incidents Annex A Radiation Management Plan Brachytherapy 8. Radiation Protection in the care of a patient with Brachytherapy Sources in situ 9. Radiation Protection in the event of the Death of a Patient undergoing Treatment with Brachytherapy Sources in situ. 11. Storage and Transport Annex B Brachytherapy Procedures Annex C Brachytherapy Sources Annex D Equipment & Facilities

Responsibilities

Responsibilities The Responsible Person? Hospital CEO?Director of Medical Services

Responsibilities Medical Practitioner External Beam Therapy Radiation Oncologist Dermatologist (superficial XRT) Intraoperative photon or electron radiotherapy Sealed Source Brachytherapy Radiation Oncologist Radiation Oncologist Ophthalmologist (eye plaque only) Dermatologist (superficial XRT)

Medical Practitioner Code Specified Responsibilities in Radiotherapy 3.2.6 Provision of Advice to Patients and Carers Safety Guide Section 8 & 9 3.2.13 Patient with an implanted electronic device 3.2.14 Interstitial or Intraluminal High Dose Rate Brachytherapy

Safety Guide Recommends that the Medical Practitioner Present in Person For: High Dose Rate Brachytherapy - interstitial - intraluminal Intraoperative radiotherapy Manual brachytherapy ( other than non-surgical plaque application) Intravascular brachytherapy

Operator (Person Administering Radiation) Radiation Therapist Radiation Oncology Medical Physicist

Radiation Oncology Medical Physicist Not Mandatory Qualified Expert

Radiation Safety Officer Not Mandatory Recommended that is a Radiation Oncology Medical Physicist Responsible to the Responsible Person

Responsibilities The Suppliers of Equipment & Sources The Equipment Servicing Agency

Working Party Gillian Duchesne Peter MacCallum Cancer Centre Convenor Mary Aerts WA Health Dominic Au-Yeung AIR Radiation Therapist Michael Izard RANZCR Radiation Oncologist Heather Letwin ARPANSA Secretariat Lyn Oliver ACPSEM Medical Physicist David Webb ARPANSA Peter Collins ANZSNM Brad Cassels Vic DHS