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Advances in Radiotherapy
            & Nuclear Medicine                                             Shielding exaggeration in medical linac bunkers



              In addition, the inner maze entrance was modified by   scatter radiation, and d is the distance from the patient to
                                                                                 sec
            adding  a  shielding  extension  of  ordinary  concrete,  with   the calculation point.
            dimensions of 1.75 m × 0.65 m. This alteration effectively   The designed dose constraint (P ) behind a particular
            converted the original single-leg  maze into a two-leg   primary barrier is achieved at a specific value of the
                                                                                            w
            configuration, significantly reducing the radiation (gamma   transmission  factor  B   of  that  barrier.  This  transmission
            and neutrons) within the maze. As a result, radiation dose   factor is achieved using a particular thickness of the barrier
                                                                                 0
            behind the right-side barrier of the maze where two rooms   of specific density that can attenuate the radiation dose to
            are fully occupied, namely, the treatment planning system
            and control rooms, are also expected to decrease.  the designed dose constraint. The required transmission
                                                               factor B  could be determined using Equation IV,
                                                                     0
              The internal shielding extensions were designed based
            on two criteria, as illustrated in  Figure  1: first, to allow   TVLs log=   1              (IV)
            free movement of the linac treatment couch without any      10    B  
                                                                            0
            obstacles while maintaining sufficient space for the linac
            operator to position patients comfortably, and second,   Where  TVLs are the number of the tenth value
            to allow for the safe and free maneuvering of the largest   layers (TVLs) required to achieve the designed  B . The
                                                                                                        0
            component of the Elekta Versa HD linac through the inner   transmission factor  B  of that barrier is then given in
                                                                                 0
            maze entrance.                                     Equation V,
              Given that the minimum slant path through the         P ×( SAD d) 2  
                                                                             +
            shielding is approximately 114 cm, the thicknesses of the   B =   0  D                      (V)
                                                                0
            other secondary barriers (1.0 m) were left unaltered. This      0   
            design assumption will be validated through calculations   Where D  is the dose rate at the isocenter, and P  is the
                                                                                                        0
                                                                         0
            and radiation measurements.                        equivalent dose rate constraint behind the barrier. IPEM
                                                                 17
            2.2. The national council on radiation protection and   75  proposed P  = 7.5 µSv/h when testing the transmission
                                                                           0
            measurements report no. 151 and safety reports     factor at the FF modality and 20 µSv/h in the case of the FFF
            series no. 47 shielding calculation approach       beam modality. In this study, all parameters, as mentioned
                                                               earlier, were retrieved from the NCRP 151 except the TVLs,
            The weekly dose constraint (P ) received by a person   which were extracted from the IAEA SRS-47 because the
                                      w
            behind a primary barrier is determined by Equation I.  TVL values reported therein are more consistent with the
                 B × W UT×  ×                                  experimental data results in recent studies. 20,21
            P =   0  dSAD+   (µ Sv week)                (I)      Exposure to the radiation from the linac vault represents
                                 /
             w
                                                               planned exposure controlled within the framework of dose
              The dose constraint (P ) received by a person behind   constraints to ensure that the radiation exposure is as
                                 w
            a secondary barrier is determined by the sum of the doses   low as reasonably achievable.  Accordingly, the shielding
                                                                                      22
            received due to secondary radiation, namely, head leakage   design calculations are carried out using the following
            [P ] and patient scatter [P ], as in Equations II and III,  assumptions: (i) annual dose limit [P ] = 20 (1) mSv/year
              L
                                p
                                                                                             o
            P  = P  + P  (μSv/week)                    (II)    for occupational (public) and (ii) annual dose constraints
             w
                 L
                     P
                                                               [P] = 6 (1) mSv/year for occupational (public). This means
                      *
                                a WT××( / 400
                B × W ×  T  B ××          F     )              the weekly dose constraints [P ] = 120 (20) µSv/week.
                                                                                       w
            P =   L 1000 × d  +  P  d  × d       (µ Sv week)     The thicknesses of the primary and secondary barriers
                                                     /
             w
                                   sca
                                        sec
                                                       (III)   are determined so that the weekly dose constraints are not
              Where  W  is the weekly workload (Gy/week) at the   exceeded.
            isocenter, W* is the weekly workload (Gy/week) produced   2.3. Workload considerations
            by  the  linac,  T  is  the  occupancy  factor,  a  is  the  scatter
            fraction from the patient,  U is the wall use factor,  F is   Two workload cases have been considered in this study;
            field size incident on the patient, and SAD is the source   the first one is 40 patients/day, representing the standard
            to isocenter distance. B  is the barrier transmission against   workload  in  all  literature.  The  number  40  patients/day
                              0
            primary radiation, d is the distance from the isocenter to   means five patients are treated in 1 h along an 8-h working
            the calculation point, B  is the barrier transmission against   day. Another case represents an overloaded facility with
                              L
            leakage radiation, d  is the distance from the source to   60 patients/day, which means that seven to eight patients
                            sca
            the patient, B  is the barrier transmission against patient   are treated in an hour or the working day is longer than 8 h.
                       P
            Volume 3 Issue 2 (2025)                         42                        doi: 10.36922/ARNM025070007
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