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



            720 × 1 × 0.25/6.65  = 4.07 Sv/week        (IX)    needed to achieve this value is 4.0; considering that the
                           2
              To reduce this value to the weekly dose constraints for   TVL at 10 MV is 38.9 cm, the primary barrier should be
            the public (20 µSv/week), the transmission factor becomes   1.56 m thick.
                      −6
            B = 4.91 × 10 . Accordingly, the number of TVLs needed to   The weekly unshielded dose at 6 MV (20 patients) is
            achieve this value is 5.31; considering that the TVL at 10 MV   presented in Equation XII.
            is 38.9 cm, the primary barrier should be 2.07 m thick.  360 × 0.25 × 0.5/6.05  = 1.23 Sv/week  (XII)
                                                                                2
              The weekly unshielded dose at 6 MV (20 patients) is   To reduce this value to the weekly dose constraints
            presented in Equation X.                           for the workers (120  µSv/week), the transmission factor

            360 × 1 × 0.25/6.65  = 2.5 Sv/week          (X)    becomes B = 9.76 × 10 . Accordingly, the number of TVLs
                           2
                                                                                 5
              To reduce this value to the weekly dose constraints for   needed to achieve this value is 4.0; considering that the
            the public (20 µSv/week), the transmission factor becomes   TVL at 6 MV is 34.3 cm, the primary barrier should be
                       −6
            B = 9.83 × 10 . Accordingly, the number of TVLs needed   1.38 m thick.
            to achieve this value is 5.0; considering that the TVL at 6 MV   The difference between the two thicknesses is
            is 34.3 cm, the primary barrier should be 1.72 m thick.  18.4 cm; this difference reduces the weekly dose at 6 MV
              The difference between the two thicknesses is    to 34.78  µSv/week,  which made the total weekly dose
            34.7  cm; this difference reduces the weekly dose at   154.78 µSv/week. Therefore, one HVL of 10 MV will be
            6MV to 1.94 µSv/week, which makes the total weekly dose   added to the total thickness to ensure the weekly dose
            21.94  µSv/week. Therefore, one HVL of 10 MV will be   rate is < 120 µSv/week. Hence, the final thickness of the
            added to the total thickness to ensure that the weekly dose   primary barrier will be 1.68 m. The total weekly dose from
            rate is <20 µSv/week and the final thickness of the primary   the two energies at this final thickness is 75.85 µSv/week.
            barrier will be 2.18 m. The total weekly dose from the two   In the case of 10 MV FF beam modality, to fulfill the
            energies at this final thickness is 10.88 µSv/week.  IDR criteria of ≤7.5 µSv/h at a dose rate of 600 MU/min at
              Since the primary barrier thickness is 2.42  m based   the linac’s isocenter, the primary barrier thickness should
            on the IDR criteria mentioned above, the primary barrier   be 2.38 m. In the case of 10 MV FFF beam modality, to
            thickness for the workload of 60  patients/week must be   fulfill the IDR criteria to be ≤20 µSv/h at a dose rate of
            increased by 10.73%.                               2,400 MU/min at the linac’s isocenter, the primary barrier
                                                               thickness should be 2.45  m. Accordingly, the highest
              The expected equivalent dose behind the primary   value will be considered. Consequently, using IDR criteria
            barrier at the final thickness, 2.42 m, equals 2.684 µSv/week   necessitates  that  the  primary  barrier  thickness  for  the
            or 134.2 µSv/year, which means that the use of IDR criteria   workload of 40 patients/week must be increased by 46%.
            reduces the equivalent dose to just 13.4% of the annual
            dose constrain, that is, 1 mSv/year. For this primary barrier   The expected equivalent dose behind the primary
            (B), it is worth noting that the IDR in the FF case decreases   barrier at the final thickness, 2.45 m, equals 1.429 µSv/week
            from 7.5 µSv/h at 2.35 m to 5 µSv/h at 2.42 m, the thickness   or 71.45 µSv/year, which means that the use of IDR criteria
            required in the FFF case.                          reduces the equivalent dose to just 1.91% of the annual
                                                               dose constrain, that is, 6 mSv/year.
            3.2. Primary barrier at point B’
                                                               3.2.2. Case 2: Working load of 60 patients/day
            This barrier is made partially of ordinary concrete, and
            any additional thickness is made of iron. At this point, the   The weekly unshielded dose at 10 MV (40  patients) is
            occupancy factor T = 0.5, the use factor U = 0.25, and the   presented in Equation XIII.
            dose constraint = 120 µSv/week.                    720 × 0.25 × 0.5/6.05  =2.46 Sv/week      (XIII)
                                                                                2
            3.2.1. Case 1: Working load of 40 patients/day       To reduce this value to the weekly dose constraints
                                                               for the workers (120  µSv/week), the transmission factor
            The weekly unshielded dose at 10 MV (20  patients) is   becomes B = 4.88 × 10 . Accordingly, the number of TVLs
                                                                                 −5
            presented in Equation XI.                          needed to achieve this value is 4.31; considering that the
            360 × 0.25 × 0.5/6.05  = 1.23 Sv/week      (XI)    TVL at 10 MV is 38.9 cm, the primary barrier should be
                             2
              To reduce this value to the weekly dose constraints   1.68 m thick.
            for the workers (120  µSv/week), the transmission factor   The weekly unshielded dose at 6 MV (20 patients) is
            becomes B = 9.76 × 10 . Accordingly, the number of TVLs   presented in Equation XIV.
                              5

            Volume 3 Issue 2 (2025)                         44                        doi: 10.36922/ARNM025070007
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