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




            Table 3. The expected equivalent dose received by personnel behind the primary barriers B and B’
            Barrier        Dose limit      Dose constraint      Expected annual dose      % of annual dose constraint
            B              1 mSv/year      1 mSv/year           40 patient/day: 71.7 µSv     100×71.1/1,000=7.17
                                                                60 patients/day: 134.2 µSv  100×134.2/1,000=13.42
            B’             20 mSv/year     6 mSv/year           40 patient/day: 71.45 µSv   100×71.1/6,000=1.191
                                                                60 patients/day: 134 µSv    100×134.2/6,000=2.23

            (i) using a 40 × 40  cm field size instead of the average   To reduce this value to the weekly dose constraints for
            20 × 20 cm and (ii) assigning a use factor of 1 for secondary   the public, the transmission factor becomes B = 4.28 × 10 .
                                                                                                            −4
            barriers adjacent to primary barriers. Therefore, the first   Accordingly, the number of TVLs needed to achieve this
            assumption was retained, while the second was revised to   value is 3.28; considering that the TVL leakage for 6 MV
            reflect practical clinical conditions better, as previously   is 26.1 cm, the secondary barrier should be 0.86 m thick.
            indicated.                                         A  simple calculation shows that the total patient scatter
                                                               radiation from 6 and 10 MV at the existing slant thickness
            3.3.1. Case 1: Working load of 40 patients/day     (1.14 m) equals 4.75 µSv/week.
            The weekly unshielded leakage dose at 10 MV (20 patients)   Accordingly,  the  total  weekly  dose  from  leakage  and
            is presented in Equation XV.                       scatter radiation at point C equals 10.7 µSv, less than the
            855 × 0.001/5.12  = 32.6 mSv/week         (XV)     weekly dose constraints, 20 µSv/week. Hence, the existing
                         2
              The transmission factor was deemed as B = 6.13 × 10    thickness is adequate for the workload of 40 patients/day.
                                                         −4
            to reduce this value to the weekly dose constraints for the   3.3.2. Case 2: Working load of 60 patients/day
            public (20 µSv/week). Accordingly, the number of TVLs
            needed to achieve this value is 3.21; considering that the   The weekly unshielded leakage dose at 10 MV (40 patients)
            TVL leakage for 10 MV is 30.5 cm, the secondary barrier   is presented in Equation XIX.
            should be 0.98 m thick.                            1,710 × 0.001/5.12  = 65.2 mSv/week       (XIX)
                                                                              2
              The  weekly  unshielded  leakage  dose  at  6  MV   To reduce this value to the weekly dose constraints for
            (20 patients) is presented in Equation XVI.        the public, the transmission factor becomes B = 3.06 × 10 .
                                                                                                            −4
            855 × 0.001/5.12  = 32.6 mSv/week        (XVI)     Accordingly, the number of TVLs needed to achieve this
                         2
                                                               value is 3.51; considering that the TVL leakage for 10 MV
              Similarly, the transmission factor becomes B = 6.13 ×   is 30.5 cm, the secondary barrier should be 1.07 m thick.
            10  to reduce the obtained value. The number of TVLs
              −4
            needed to achieve this value is 3.21; considering that the   The weekly unshielded dose at 6 MV (20 patients) is
            TVL leakage for 6 MV is 27.9 cm, the secondary barrier   presented in Equation XX.
            should be 0.90 m thick. A simple calculation shows that the   855 × 0.001/5.12  = 32.6 mSv/week   (XX)
                                                                            2
            total leakage radiation from 6 and 10 MV at the existing
                                                                                                         −4
            slant thickness (1.14 m) equals 5.95 µSv/week.       The transmission factor becomes  B  = 6.14 × 10  to
                                                               reduce this value to the weekly dose constraints for the
              The weekly unshielded patient scatter dose at 10 MV   public. Hence, the number of TVLs needed to achieve
            (20 patients) is presented in Equation XVII.       this value is 3.21. Given that the TVL leakage for 6 MV
            W × T × U × a × F /400 × d  =360 × 1 × 0.25 × 3.18 × 10 −3   is 27.9  cm, the secondary barrier should be 0.90  m
                                  2
                           2
            × 1,600/400 × 5.12  = 43.7 mSv/week      (XVII)    thick.  A  simple calculation shows  that  the total  leakage
                           2
                                                               radiation from 6 and 10 MV at the existing slant thickness
              To reduce this value to the weekly dose constraints for
                                                         −4
            the public, the transmission factor becomes B = 4.57 × 10 .   is 14.57 µSv/week.
            Accordingly, the number of TVLs needed to achieve this value   The weekly unshielded patient scatter dose at 10 MV
            is  3.34;  taking  into  consideration  that  the  TVL  leakage  for   (40 patients) is presented in Equation XXI.
            10 MV is 27.5 cm, the secondary barrier should be 0.92 m thick.  720 × 1 × 0.25 × 3.18×10 × 1,600/400 × 5.12 = 87.3 mSv/
                                                                                                   2
                                                                                   −3
              The weekly unshielded patient scatter dose at 6 MV   week                                  (XXI)
            (20 patients) is presented in Equation XVIII.        To reduce this value to the weekly dose constraints for
                                                                                                            −4
            W × T × U × a × F /400 × d  =360 × 1 × 0.25 × 2.77 × 10 -3   the public, the transmission factor becomes B = 2.3 × 10 .
                                  2
                           2
            × 1,600/400 × 5.12 = 38 mSv/week        (XVIII)    Accordingly, the number of TVLs needed to achieve this
                           2
            Volume 3 Issue 2 (2025)                         47                        doi: 10.36922/ARNM025070007
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