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Part 4

Part 4. IAEA Training Material on Radiation Protection in Nuclear Medicine. Safety of Sources Design of Facilities. Objective.

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Part 4

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  1. Part 4 IAEA Training Material on Radiation Protection in Nuclear Medicine Safety of Sources Design of Facilities

  2. Objective To become familiar with the types of sources used in nuclear medicine. To become aware of how the basic principles of defense in depth, safety of sources and optimization are applied to the design of a nuclear medicine facility. To get basic information about shielding calculations. Part 4. Design

  3. Contents • Sources • Work with sources • Security of sources • Defense in depth • Categorization of hazard • Building requirements • Safety equipment Part 4. Design

  4. Part 4. Design of FacilitiesSafety of Sources IAEA Training Material on Radiation Protection in Nuclear Medicine Module 4.1. Sources

  5. Sealed Sources in Nuclear Medicine Sealed sources used for calibration and quality control of equipment (Na-22, Mn-54, Co57, Co-60, Cs137, Cd-109, I-129, Ba-133, Am-241, Ge-68). Point sources and anatomical markers (Co-57, Au-195). The activities are in the range 1 kBq-1GBq. Part 4. Design

  6. Unsealed Sources in Nuclear Medicine Part 4. Design

  7. Unsealed Sources in Nuclear Medicine Part 4. Design

  8. Unsealed Sources in Nuclear Medicine Part 4. Design

  9. Radiotoxicity Class A. Very high e.g. Am-241, Cf-252 Class B. High e.g. Na-22, Ca-45, Mn-54, Co-60, Sr-89, I-125, I-131 Class C. Medium e.g. C-14, F-18, P-32, Cr-51, Co-57, Ga-67, Se-75, Mo-99, In-111, I-123, Au-198, Tl-201 Class D. Low e.g. H-3, C-11, N-13, O-15, Tc-99m, Xe-133 Part 4. Design

  10. Nuclear Medicine applicationaccording to type of Radionuclide Radionuclide Diagnostics Therapy • Pure  emitter  () • e.g. ; Tc99m, In111, Ga67, I123 • Positron emitters (ß+)   • e.g. : F-18 • , ß- emitters  • e.g. : I131, Sm153 • Pure ß- emitters   • e.g. : Sr89, Y90, Er169 •  emitters   • e.g. : At211, Bi213 Part 4. Design

  11. 99Mo-99mTc Generator 87.6% 99mTc 99Mo  140 keV T½ = 6.02 h 12.4% ß- 442 keV  739 keV T½ = 2.75 d 99Tc ß- 292 keV T½ = 2*105 y 99Ru stable Part 4. Design

  12. Technetium Generator Mo-99 Tc-99m Tc-99 66 h 6h NaCl AlO2 Mo-99 +Tc-99m Tc-99m Part 4. Design

  13. Technetium Generator Part 4. Design

  14. Technetium Generator Part 4. Design

  15. Technetium Generator Part 4. Design

  16. Technetium Generator Part 4. Design

  17. Technetium Generator Part 4. Design

  18. Radiopharmaceuticals Radionuclide Pharmaceutical Organ Parameter + Colloid Liver RE Tc-99m + MAA Lungs Regional perfusion + DTPA Kidneys Kidney function I-123 NaI Thyroid Uptake/ I-131 NaI Thyroid Therapy F-18 FDG Whole Body Tumor Localization Part 0. Introduction to Nuclear Medicine

  19. Radiopharmaceuticals • Radiopharmaceuticals used in nuclear medicine can be classified as follows: • ready-to-use radiopharmaceuticals • e.g. 131I- MIBG, 131I-iodide, 201Tl-chloride, 111In- DTPA • instant kits for preparation of products • e.g. 99mTc-MDP, 99mTc-MAA, 99mTc-HIDA, 111In-Octreotide • kits requiring heating • e.g. 99mTc-MAG3, 99mTc-MIBI • products requiring significant manipulation • e.g. labelling of blood cells, synthesis and labelling of radiopharmaceuticals produced in house Part 4. Design

  20. Radiopharmaceuticals • Radiopharmaceuticallabeling must be performed in accordance with : • Radiation Safety Regulations • GMP Requirements • Requirements of these respective regulations are sometimes conflicting: • Manipulation of radioactive material must be performed in closed area under negative air pressure • Manufacturing of sterile injectable preparation must be performed under filtered positive air pressure (laminar flow) Part 4. Design

  21. Part 4. Design of FacilitiesSafety of Sources IAEA Training Material on Radiation Protection in Nuclear Medicine Module 4.2. Work with Sources

  22. Production of Radionuclides Medical cyclotron Industrial cyclotron Part 4. Design

  23. Preparation and Dispensation of Radiopharmaceuticals Part 4. Design

  24. Laboratory work with Radionuclides Part 4. Design

  25. Administration of Radiopharmaceuticals Part 4. Design

  26. Patient Examinations Part 4. Design

  27. Animal Experiments Part 4. Design

  28. Storage of Radionuclides Part 4. Design

  29. Part 4. Design of FacilitiesSafety of Sources IAEA Training Material on Radiation Protection in Nuclear Medicine Module 4.3. Security of Sources

  30. Requirements for the Safety of Sources • General Responsibilities • Licensees shall ensure safety of the sources • A multilevel system of provisions for • preventing accidents • mitigating consequences • restoring sources to safe conditions • Use of sound engineering practice on all operations with sources Part 4. Design

  31. Security of SourcesBSS: Interim Edition • 2.27. The government shall ensure that infrastructural arrangements are in place for the interfaces between safety and the security of radioactive sources. • 2.26. The government shall ensure that arrangements are in place for regaining control over radioactive sources that have been abandoned, lost, misplaced, stolen or otherwise transferred without proper authorization. Part 4. Design

  32. Requirements Accountability and Security of Sources: • Records of source inventory (source characteristics, locations) • Periodic inventory of sources • Records of receipt, transfer and disposal • Transfers only to receiver holding a license • Prompt communication of information to the Regulatory Authority regarding decontrolled, lost, stolen or missing sources Part 4. Design

  33. Security of Sources The security of sources shall be taken into account in the different steps of the lifetime of a source in a hospital Receipt Storage before use Transport (in house) Storage of waste Use Part 4. Design

  34. Receipt Procedures • Local rules should specify: • Persons authorized to order radionuclides • Routines for delivering radioactive material to the department • Routines for check and unpacking of shipment • Routines in case of damaged package • Routines for check of radionuclide and activity • Records to be kept Part 4. Design

  35. Source Storage Source stores must: • provide protection against environmental conditions • be only for radioactive materials • provide sufficient shielding • be resistant to fire • be secure Part 4. Design

  36. Storage of Sources • locked to prevent unauthorized • use and theft • warning sign • shielded to <2 µSv/h at 1m • (permanently occupied areas) • alternatively <20 µSv/h at 1 m • (temporarily occupied areas) • inventory record Part 4. Design

  37. Source Transport • In house transport, according to local rules • External transport, according to international standards and requirements Part 4. Design

  38. Radioactive Waste • Radioactive waste should be handled, stored and disposed of according to local rules that are based on national regulations. Part 4. Design

  39. Accountability of Sources • Receipt, storage, use and all movements of a source must be recorded Part 4. Design

  40. Accountability of Sources Source accountancy records should contain: • radionuclide and activity of sources • location and description of sources • disposal details The records should be updated regularly, and the location of the sources checked Part 4. Design

  41. Safety Assessment • Identification of the mechanisms for exposure (both routine and accidents) • Realistic estimate of doses and likelihood of occurring • Identification of possible safety system failures • Identification of protection measures needed Part 4. Design

  42. Safe Use of Sources Key elements: • classification of areas • local rules • supervision arrangements • individual monitoring arrangements • workplace monitoring arrangements • training arrangements • emergency plans Part 4. Design

  43. How do we transfer the requirements of BSS regarding safety and security of sources into the design of a nuclear medicine facility? ?? Part 4. Design

  44. The Role of RPO The radiation protection officer (RPO) should be consulted as soon as the planning process commences for construction or renovation of a nuclear medicine facility or other hospital radioisotope laboratory. Part 4. Design

  45. Facilities The design of the facility should take into consideration the type of work and the radionuclides and their activities intended to be used. The concept of ‘categorization of hazard’ should be used in order to determine the special needs concerning ventilation, plumbing, materials used in walls, floors and work benches. Part 4. Design

  46. Part 4. Safety of Sources Design of facilities IAEA Training Material on Radiation Protection in Nuclear Medicine Module 4.4. Defense in Depth

  47. Defense in Depth BSS: Interim Edition “3.40. Registrants and licensees shall ensure that a multilevel (defence in depth) system of sequential, independent provisions for protection and safety that is commensurate with the likelihood and the magnitude of the potential exposures is applied to sources for which the registrants and licensees are authorized. Registrants and licensees shall ensure that if one level of protection were to fail, the subsequent independent level of protection would be available. Such defence in depth shall be applied for the purposes of: (a) Preventing accidents; (b) Mitigating the consequences of any accidents that do occur; (c) Restoring the sources to safe conditions after any such accidents.” Part 4. Design

  48. Defense in Depth • Nuclear medicine: • Source • Shielded container • Work area • Laboratory • Department • Hospital Weak points? Part 4. Design

  49. Part 4. Design of FacilitiesSafety of Sources IAEA Training Material on Radiation Protection in Nuclear Medicine Module 4.5. Categorisation of Hazard

  50. Categorization of Hazard Based on calculation of a weighted activity using weighting factors according to radionuclide used and the type of operation performed. Weighted activityCategory < 50 MBq Low hazard 50-50000 MBq Medium hazard >50000 MBq High hazard Part 4. Design

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