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Questions and Answers
What is the minimum thickness of lead required for a standard x-ray lead apron?
What is the minimum thickness of lead required for a standard x-ray lead apron?
- 0.5mmPb
- 1.0mmPb
- 0.35mmPb
- 0.25mmPb (correct)
What is the purpose of a flat contact shield in patient shielding?
What is the purpose of a flat contact shield in patient shielding?
- To protect the doctor from radiation
- To reduce patient dose (correct)
- To improve image quality
- To increase radiation exposure
What is the unit of measurement for absorbed dose in tissue?
What is the unit of measurement for absorbed dose in tissue?
- Becquerels
- Grays (correct)
- Sieverts
- Coulmbs/Kg
What is the orientation of the CR in a Secondary Barrier?
What is the orientation of the CR in a Secondary Barrier?
Which of the following will decrease ESE ( Entrance Skin Exposure)?
Which of the following will decrease ESE ( Entrance Skin Exposure)?
What is the primary purpose of a secondary barrier in radiation protection?
What is the primary purpose of a secondary barrier in radiation protection?
What is the equivalent of 4 inches of masonry in terms of lead?
What is the equivalent of 4 inches of masonry in terms of lead?
What is the occupancy factor for a controlled area?
What is the occupancy factor for a controlled area?
What is the regulatory limit for leakage radiation at 1m distance?
What is the regulatory limit for leakage radiation at 1m distance?
What is the use factor for a secondary barrier?
What is the use factor for a secondary barrier?
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Study Notes
Equipment Design for Radiation Protection
Design of Protective Barriers
- A medical physicist must be consulted in designing proper radiation shielding.
- There are two basic types of barriers: Primary and Secondary barriers.
- Primary radiation is the most intense and difficult to shield.
- Any wall to which the useful beam can be directed is called a primary barrier.
- Three of the four walls in a fixed x-ray lab are primary barriers, as well as the floor.
- Lead bonded to sheet rock or wood paneling is often used as a primary barrier.
- Concrete or brick may be used instead, with 4 inches of masonry being equal to 1/16 inch of lead.
Primary Barriers
- The primary barrier is perpendicular to the central ray.
- Lead is often used, with a thickness of at least 1/16 inch (1.6 mm) and a height of 7 feet.
Secondary Barriers
- Secondary barriers are designed to stop leakage and scatter radiation.
- The primary beam should never be pointed at a secondary barrier.
- The patient is the source of most scatter radiation produced.
- Leakage radiation is emitted from the tube housing in all directions other than the primary beam.
- Secondary barriers often have a lead glass window with a thickness of 1.5 mm of Pb.
- The regulatory limit of leakage radiation is 100 mR/hr at 1m distance.
Influencing Factors
- Workload is measured in mA per min or week (the amount of activity in an x-ray room).
- Use factor is assigned to walls (1/4) and the floor (1), representing the amount of time the beam is directed at a wall or floor.
- Occupancy factor (T) has limits of:
- 100 mR/week for controlled areas (occupied by radiation workers).
- 10 mR/week for uncontrolled areas (e.g. corridors, waiting rooms, restrooms).
Radiation Barriers
- Three qualities of the Primary Barrier:
- CR is perpendicular.
- Thickness of at least 1/16 inch of Pb (1.6 mm).
- Height of 7 feet.
- Three qualities of the Secondary Barrier:
- CR is parallel.
- Thickness of at least 1/32 inch of Pb (0.8 mm).
- Height of 7 feet.
Types of Wearable Protective Devices
- Lead aprons: minimum 0.25 mm Pb for standard x-ray.
- Fluoro aprons: 0.5 mm Pb.
- Lead glasses: 0.35 mm Pb.
- Thyroid shields: 0.5 mm Pb.
- Lead gloves: 0.25 mm Pb.
Patient Shielding
- Flat contact shields.
- Shaped contact shields (best for patient dose).
- Shadow shields - used for procedures with a sterile field.
Units of Measurement
- Sieverts (Sv) - equivalent dose.
- Grays (Gy) - absorbed dose in tissue.
- Coulombs per kilogram (C/kg) - primary beam.
- Becquerels (Bq) - radioactive material.
Exposure Reduction Strategies
- Proper positioning.
- Higher kV and lower mAs.
- Higher filtration.
- Collimation.
- Shielding.
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