DESIGNING FOR RADIATION PROTECTION
TUBE HOUSING
REDUCES LEAKAGE TO LESS THAN 100 mR PER HOUR AT A DISTANCE OF ONE METER FROM HOUSING
One meter is 3.3 feet
Body parts should not rest on tube housing
Control panel should indicate
Condition of exposure
When x-ray tube is being energized
kVp, mA or mAs
Visible or audible signal of exposure
SID
Tape measure or laser lights indicate the distance
Must be accurate with 2% of the indicated SID
COLLIMATION
PBL
BEAM ALIGNMENT
X-ray beam and light should be within 2% of SID
PBL not required anymore
Beam should line up with image receptor
Proper alignment of beam to film (indicator light)
FILTRATION
2.5 mm @70 kVp
1.5 mm between 50-70 kVp
.5 mm below 50 kVp (mammo)
See question on page 532 (refer to chart 31-3 on page 430)
Reproducibility
Linearity
Operator shield
MOBILE RADIOGRAPHY
Lead apron assigned to portable
Exposure switch should allow operator to be 2 meter from tube (6+)feet
FLUOROSCOPY
Source to skin distance – 38 cm
Mobile SSD – 30 cm
When intensifier is in parked position—no fluoro
Intensifier serves as a primary protective barrier and must be 2 mm Pb equivalent.
Filtration should be at least 2.5 mm Al equivalent—Tabletop, patient cradle or other material factored in for total filtration
Collimation—unexposed border should be visible on TV monitor
FLUOROSCOPY
Dead man type exposure switch
Bucky opening covered automatically by .25 mm lead
Protective curtain -- .25 mm Pb equivalent
Timer (audible) when fluoro time has exceeded 5 minutes
FLUOROSCOPY
Intensity (R ) should not exceed 2.1 R per minute for each mA at 80 kVp
PROTECTIVE BARRIERS
DESIGN CRITERIA
Location of x-ray table
Where is the primary beam directed?
Surrounding environment (controlled area vs. uncontrolled area)
RF room
Dedicated room
Use factor
# of exams in a room
Primary Protective Barrier
Anywhere the primary beam is directed ( dedicated chest rooms)
Lead bonded to sheet rock of wood paneling
Concrete, concrete block, brick
4 inches of masonry = 1/16 inch of lead
Image intensifier considered a primary protective barrier
SECONDARY BARRIERS
Secondary radiation (scatter, leakage)
Patient is source of scatter
Barrier does not have to be leaded
gypsum board 4 thicknesses of 5/8th inch drywall
glass ½ to 1 inch thickness
lead acrylic
Control booth
Lead aprons (5mm of lead attenuates____%_at _____kVp
Factors that affect thickness of barrier
Distance
Occupancy
Control
Use factor
USE FACTOR
Amount of time x-ray beam is directed at wall/floor
Wall given a use factor of ¼
Floor given a factor of 1
Secondary barrier use factor of 1
Dedicated chest room-use factor of 1
FINALLY
Barriers are designed with 75-100 kVp usage in mind so most barriers are thicker than needed
Exposure to outside of room is calculated to result in a DL of 100mrem per week but do not factor in patient and image receptor interception. DL is actually 1/10th of the recommended DL
Exposure switch
Mounted of fixed to control panel
No long cords