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



            360 × 0.25 × 0.5/6.05  = 1.23 Sv/week    (XIV)       The ceiling shielding calculations at point G were
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              To reduce this value to the weekly dose constraints   performed similarly to those followed in primary barriers
            for the workers (120  µSv/week), the transmission factor   B and B’. Although the occupancy factor of the roof is very
            becomes B = 9.76 × 10 . Accordingly, the number of TVLs   small, the final thickness is determined based on 20 µSv/h
                              5
            needed to achieve this value is 4.0; considering that the   criteria at 10 MV (FFF).
            TVL at 6 MV is 34.3 cm, the primary barrier should be   Table 2 summarizes the shielding calculation
            1.38 m thick.                                      results obtained for the two workload cases. Notably,
              The difference between the two thicknesses is 30 cm;   the maximum barrier’s thickness is obtained when
            this  difference  reduces  the  weekly  dose  at  6  MV  to   IDR  criteria  were  applied  at  10  MV  (FFF),  that  is,
            15.84  µSv/week,  which made the total weekly dose   ≤20  µSv/h, regardless of any thickness obtained at
                                                               6 MV or 10 MV (FF). Table 3 summarizes the expected
            135.84  µSv/week. Therefore, one HVL of 10 MV must   equivalent dose received by personnel behind the primary
            be added to the total thickness to ensure the weekly dose   barriers B and B’.
            rate is <120 µSv/week. The final thickness of the primary
            barrier will be 1.8 m. The total weekly dose from the two   3.3. Secondary barriers at points C, D, E, F, and G
            energies at this final thickness is 67.21 µSv/week.
                                                               Points C, D, E, and F have the same scattering angle
              Since the primary barrier thickness is 2.45  m based   (28° – 29°) and the same slant radiation path inside the
            on the IDR criteria mentioned above, there is a 36.45%   concrete (approximately 1.13  cm). Accordingly, the
            increase in the barrier thickness. Notably, for this primary   following observations are made:
            barrier (B’), the IDR of the FF decreases from 7.5 µSv/h at   (i)  The distances of points C and D from the isocenter are
            2.38 m to 5 µSv/h at 2.45 m, which is the thickness of the   longer than those of E and F
            FFF case.                                          (ii)  The occupancy factor at C and E is greater than that at
              The expected equivalent dose behind the primary     points E and F
            barrier at the final thickness, 2.45 m, equals 2.679 µSv/week   (iii) The dose constraint at points C and E is less than at
            or 134  µSv/year, indicating that the use of IDR criteria   points E and F.
            reduces the equivalent dose to just 2.23% of the annual   Thus, the shielding requirements at points C and D
            dose constrain, that is, 6 mSv/year.               are greater than those needed for E and F. Similarly, the
              Given that only 185 cm of concrete exists, the remaining   shielding requirements at point G are less than those
            required thickness of the primary barrier (60 cm) should   required at points C and D since its distance from the
            be compensated with a high-density material due to the   isocenter is much longer (8.24 m) and its scattering angle
            limited space available. This required 60  cm thickness   is greater (65°). Therefore, if the existing thickness (1.0 m)
            corresponds to 1.54 TVL at 10 MV. Considering that the   of all secondary barriers is adequate at points C or D, it will
            TVL at 10 MV for iron is 10.5 cm, a 16.2 cm layer of iron   also be sufficient at E, F, and G. The shielding requirement
            should be used. Hence, for practical reasons, 16.5 cm of   at  point  C  is  presented  by  evaluating  the  leakage  and
            iron will be implemented.                          patient scatter at this barrier.
              Figure 2 represents the primary barrier’s final design   The use factor for leakage radiation is 1, given that it hits
            with an additional iron thickness. As shown, there are two   all barriers regardless of the linac’s head angle. Secondary
            options: (i) use one iron layer weighing approximately   barriers adjacent to the primary barriers receive significant
            16.9 tons or (ii) use multilayers of iron with different   patient scatter radiation only when the primary beam is
            thicknesses and dimensions. In this case, calculations   directed at the primary barriers. Thus, assuming that the
            were conducted in 40 cm steps in horizontal and vertical   use factor at points C, D, E, and F equals 0.25, that is, the
            directions. This was done because the layers will be   same use factor as primary barriers will be reasonable.
            arranged and fixed on the wall using 40 cm × 40 cm tiles   Using a use factor of 1 for an adjacent secondary barrier
            of iron, which will be well welded together. The thickness   exaggerates conservatism. This study uses this assumption
            of each layer is determined based on its distance  from   and verifies its validity through an experimental radiation
            the isocenter and the slant path of radiation inside the   survey at a later stage. Notably, the use factor for secondary
            concrete, as shown in Figure 2. Using the multi-layers of   barriers adjacent to the primary barriers in NCRP 151, SRS
            iron requires only 13 tons, saving about 3.6 tons. Notably,   47, and IPEM 75 equals unity.
            the thickness of the existing (1.35 m) and new concrete   Although the average field size used in treating patients
            (0.5 m) is adequate if the IDR criteria were not applied.  daily is 20 × 20 cm , the same approach mentioned in NCRP
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            Volume 3 Issue 2 (2025)                         45                        doi: 10.36922/ARNM025070007
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