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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry in Diagnostic Radiology: An International Code of Practice Antti Kosunen Radiation Metrology Laboratory-STUK NCRRP and STUK Workshop on dosimetry in radiotherapy and in diagnostic radiology 6th and 7th of November, 2008 Sofia, Bulgaria

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Page 1: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY

TRS 457, Dosimetry in Diagnostic Radiology: An International Code of Practice

Antti KosunenRadiation Metrology Laboratory-STUK

NCRRP and STUK Workshop on dosimetry in radiotherapy and in diagnostic radiology

6th and 7th of November, 2008Sofia, Bulgaria

Page 2: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 23.11.2008 / AK-STUK

Page 3: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 33.11.2008 / AK-STUK

IAEA TRS 457, Scope and Objective

Page 4: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 43.11.2008 / AK-STUK

IAEA TRS 457, Work

Page 5: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 53.11.2008 / AK-STUK

IAEA TRS 457, Work

Page 6: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 63.11.2008 / AK-STUK

Implementation of the International Code of Practice on Dosimetry in Diagnostic Radiology (TRS 457):

Review of testing resultsCoordinated Research Project on Implementation of the International Code of Practice

on Dosimetry in Diagnostic Radiology TRS 457 at Secondary Standard DosimetryLaboratories and HospitalsDRAFT OF June 2008

IAEA TRS 457, Work

Page 7: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 73.11.2008 / AK-STUK

IAEA TRS 457, Chapter 1: Introduction

Page 8: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 83.11.2008 / AK-STUK

Page 9: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 93.11.2008 / AK-STUK

IAEA TRS 457, Chapter 2: Framework

Page 10: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 103.11.2008 / AK-STUK

( 2sd )

7 %• Relative risk• Interventional procedures • Quality assurance

measurements• Paediatric procedures

20 %• Risk assessment : Absolute risk • Dose surveys

IAEA TRS 457, Chapter 2: Framework

Page 11: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 113.11.2008 / AK-STUK

Page 12: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 123.11.2008 / AK-STUK

IAEA TRS 457, Chapter 3: Quantities and units

Page 13: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 133.11.2008 / AK-STUK

IAEA TRS 457, Chapter 3: Quantities and units

Page 14: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 143.11.2008 / AK-STUK

IAEA TRS 457, Chapter 3: Quantities and units

New ICRP in 2007

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 153.11.2008 / AK-STUK

Page 16: TRS 457, Dosimetry in Diagnostic Radiology: An International Code … · SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALEN RADIATION AND NUCLEAR SAFETY AUTHORITY TRS 457, Dosimetry

SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 163.11.2008 / AK-STUK

• NK based formalism

• Beam quality correction factor

IAEA TRS 457, Chapter 4: Dosimetry formalism

Cross calibrations

• Especially with KAP meters

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 173.11.2008 / AK-STUK

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 183.11.2008 / AK-STUK

IAEA TRS 457, Chapter 5: Selection of instruments

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 193.11.2008 / AK-STUK

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 203.11.2008 / AK-STUK

IAEA TRS 457, Chapter 6: Establisment of SSDLs

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 213.11.2008 / AK-STUK

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 223.11.2008 / AK-STUK

IAEA TRS 457, Chapter 7: CoP for calibrations at SSDLs

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 233.11.2008 / AK-STUK

IAEA TRS 457, Chapter 7: CoP for calibrations at SSDLs

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 243.11.2008 / AK-STUK

...continues

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 253.11.2008 / AK-STUK

IAEA TRS 457, Chapter 8: CoP for clinical measurements

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 263.11.2008 / AK-STUK

8.1 Introduction

• Worksheets• Dosimeters should be calibrated at the laboratory• Calibration interval:

• Based on national requirements,• Usually should not exceed two years

IAEA TRS 457, Chapter 8: CoP for clinical measurements

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 273.11.2008 / AK-STUK

8.2 Patient selection

• Limitations of phantom measurements• Patients for reference dose levels

IAEA TRS 457, Chapter 8: CoP for clinical measurements

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 283.11.2008 / AK-STUK

IAEA TRS 457, Chapter 8: CoP for clinical measurements

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 293.11.2008 / AK-STUK

IAEA TRS 457, Chapter 8: CoP for clinical measurements

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 303.11.2008 / AK-STUK

IAEA TRS 457, Chapter 8: CoP for clinical measurements

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 313.11.2008 / AK-STUK

IAEA TRS 457, Chapter 8: CoP for clinical measurements

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 323.11.2008 / AK-STUK

IAEA TRS 457, Chapter 8: CoP for clinical measurements

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 333.11.2008 / AK-STUK

IAEA TRS 457, Coordinated Research Project for Testing of the CoP

Implementation of the International Code of Practice on Dosimetry in Diagnostic Radiology

(TRS 457):Review of testing results

Coordinated Research Project on Implementation of the International Code of Practice on Dosimetry in Diagnostic

Radiology TRS 457 at Secondary Standard DosimetryLaboratories and HospitalsDRAFT OF June 2008

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 343.11.2008 / AK-STUK

1. Radiation and Nuclear Safety Authority (STUK), Finland2. Greek Atomic Energy Commission (GAEC), Greece3. Institut für Biomedizinische Technik und Physik, Austria4. National Institute for Radiological Protection, China 5. National Radiation Protection Institute, Czech Republic6. Frederic Joliot-Curie National Research Institute for Radiobiology, Hungary7. Instituto de Radioprotecao e Dosimetria, Brazil 8. Dept. of Medical Sciences, Div. of Radiation and Medical Devices, Thailand9. Institute of Nuclear Sciences and Technology, Vietnam 10. Centro de Proteccion e Higiene de las Radiaciones (CPHR), Cuba 11. Regional Medical Physics Department, Newcastle General Hospital, UK........

IAEA TRS 457, Coordinated Research Project for Testing of the CoP

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SÄTEILYTURVAKESKUS • STRÅLSÄKERHETSCENTRALENRADIATION AND NUCLEAR SAFETY AUTHORITY 353.11.2008 / AK-STUK

Activity 7 Practical peak voltage

Activity 6 TLD dosimetry audit for diagnostic measurements

- at hospitals

- at SSDLs

Activity 5 Calibration of KAP meters

4b TLD measurement of GR phantom

- report measurements in hospitals

(a - ii) implementation of measurement procedures in hospital incl. measurements with patients

(a - i) report on phantoms and dosimeters available and capabilities to manufacture phantoms.

Activity 4 Evaluation of measurement procedures in hospitals

Activity 3 Comparison of calibrations

Activity 2 Development of calibration procedures including the uncertainty budget

Activity 1 Setting-up of calibration beam qualities at SSDLs

Activity

IAEA TRS 457, Coordinated Research Project for Testing of the CoP