Principles and Practices of Radiation Protection Flashcards

(49 cards)

1
Q

How are the risks of detrimental effects from ionising radiation reduced?

A

1) Deterministic events are prevented
2) The probability of stochastic effests is minimised
3) Any radiation exposure is justified

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2
Q

What is a deterministic effect?

A

An effect that can be related directly to the radiation dose received. There is a dose below which there is no effect. Once past this threshold the severity usually increases.

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3
Q

What is a stochastic effect?

A

An effect that typically has no threshold and is based on probabilities, with the chances of seeing the effect increasing with dose. If it occurs, the severity of a stochastic effect is independent of the dose received. Cancer is a stochastic effect.

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4
Q

What is the current model for stochastic effects?

A

The linear no threshold model (LNT)

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5
Q

What is the linear no threshold model?

A

A hypothesis that assumes all ionising radaition is dangerous and can induce stochastic effects.

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6
Q

What does it mean to justify a radiation exposure?

A

An exposure is only justified if there is a sufficient positive net benefit

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7
Q

What does it mean to optimise a radiation exposure?

A

All justified exposures must be kept as low as reasonably practicable (ALARP)

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8
Q

How are limitations put on radiation exposures?

A

They are set well below any threshold levels

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9
Q

What are the ICRP’s 3 key principles of radiation protection?

A
  • Justification
  • Optimisation
  • Limitation
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10
Q

What are the Justification of Practices Involving Ionising Radiation Regulations (2018)?

A

A requirement under EU law that new practices involving ionising radiation are assessed to determine societal benefit against detriment

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11
Q

Give 5 examples of justified medical practices

A
  • Production of radioisotopes
  • Use of radioactive tracers
  • Diagnosis
  • Treatment
  • Medical and biomedical research
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12
Q

Why are screening programmes involving ionising radiation justified?

A

Because they provide societal benefit as well as potential individual gain.

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13
Q

Optimising dose considers both ________ and ________ factors.

A

Economic
Societal

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14
Q

What is the difference between ALARA and ALARP

A

As Low As Reasonably Achievable
As Low As Reasonably Practicable

Just because something is achievable doesn’t mean that it is practicable

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15
Q

Where do dose limits come from?

A

They are originally assessed on a global level by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). This assessment informs ICRP recommendations which are implemented on a national level.

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16
Q

What is the difference between planned and emergency exposures?

A

Planned exposures are deliberate and controlled exposures to ionising radiation, meaning they are thoughroughly optimised and justified.

Emergency exposures aren’t planned, but they are foreseeable, meaning that they can still be optimised and limited.

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17
Q

Give 4 examples of planned exposures

A
  • Occupational exposures
  • Public exposures
  • Medical exposures
  • Medical legal exposures
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18
Q

What steps can be taken to reduce the likelihood and consequences of emergency exposures?

A
  • Manufacturer designs (shielding and collimation)
  • Having machine interlocks
  • Contingency plans
  • Providing PPE
  • Raising awareness of risk
  • Training
  • Clear instructions
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19
Q

What are the 5 stages in the hierarchy of control measures?

A
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20
Q

Do dose limits apply to patients? Why?

A

No because they receive a justified benefit from the exposure

21
Q

What are the 4 core ethical values of radiation protection?

A

1) Benefice/non-malificence (promoting good and avoiding harm)
2) Prudence (making carefully informed decisions)
3) Justice (fair distribution of advantages/burdens)
4) Dignity (respecting all patients)

22
Q

What are the 6 key sources of background radiation dose in the UK?

A
  • Radon gas
  • Medical
  • Internal
  • Terrestrial
  • Cosmic
  • Consumer products
23
Q

What is the average background dose per year in the UK?

24
Q

What % of background radiation dose is from radon gas?

25
What % of background radiation dose is from medical sources?
15%
26
What % of background radiation dose is from internal sources?
11%
27
What % of background radiation dose is from terrestrial sources?
8%
28
What % of background radiation dose is from cosmic sources?
8%
29
What % of background radiation dose is from consumer products?
3%
30
How is radon gas produced?
Through the decay of certain rocks like Uranium-238 and granite
31
How are people exposed to radon gas?
- External irradiation - Inhalation and decay chains - Contamination of food/water
32
What are the 3 principles of radiation protection?
Time Distance Shielding
33
Give the equation for dose in terms of exposure time
Dose = Time x Dose Rate
34
Why is it important to deliver dose quickly and safely?
Because the shorter the exposure time, the lower the radiation dose.
35
What is the relationship between dose rate and distance?
Dose rate from a point source is described by the inverse square law: the intensity of radiation decreases proportionally to the square of the distance from the source.
36
Give the equation for dose rate with distance
37
Why is it important to stay far away from a radiation source?
As increased distance significantly decreases dose received.
38
How can the distance between a worker and a radioactive source be increased?
By using tongs to decrease the distance between their hands and the source.
39
Why is it important to use shielding when working with radioactive sources?
As it attenuates the radiation, reducing the dose rate
40
Give 4 examples of radioactive shielding
- Lead glass in control room windows - Concrete walls - Lead aprons - Perspex syringe shields
41
Give the equation for the dose rate of a shielded gamma or X-ray source
42
Define half-value layer
The average amount of material required to reduce the air kerma rate to half of the original intensity.
43
Define tenth-value layer
The average amount of material required to reduce the air kerma rate to a tenth of the original intensity.
44
Give the equation for half value layer
HVL = half-value layer µ = linear attenuation coefficient
45
Give the equation for tenth value layer
TVL = tenth value layer µ = linear attenuation coefficient
46
State 4 ways that radiation can enter the body
1) Inhalation 2) Ingestion 3) Absorption (through skin or contaminated wounds) 4) Injection
47
State 5 ways to prevent radiation entering the body
1) Use all appropriate PPE 2) Only handle radioisotopes in designated area 3) Monitor for contamination (both areas and people) 4) Know where the contamination kit is and how to use it 5) Know the local decontamination policy
48
What are the employers responsibilities after being notified about a pregnancy?
The employer must ensure the equivalent dose to the foetus is as low as reasonably practicable and is unlikely to exceed 1 mSv during the remainder of the pregnancy.
49
What are the employers responsibilities after being notified of an employees intention to breastfeed?
The employer must ensure that the employee is not engaged in any work involving a significant risk of intake of radionuclides or of bodily contamination.