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http://dx.doi.org/10.14316/pmp.2021.32.4.83

Status of Domestic and International Recommendations for Protection Design and Evaluation of Medical Linear Accelerator Facilities  

Choi, Sang Hyoun (Division of Medical Radiation Equipment, Korea Institute of Radiological and Medical Sciences)
Shin, Dong Oh (Department Radiation Oncology, Kyunghee University Medical Center, Kyunghee University College of Medicine)
Shin, Jae-ik (Department Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine)
Kwon, Na Hye (Department Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine)
Ahn, So Hyun (Department Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine)
Kim, Dong Wook (Department Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine)
Publication Information
Progress in Medical Physics / v.32, no.4, 2021 , pp. 83-91 More about this Journal
Abstract
Various types of high-precision radiotherapy, such as intensity-modulated radiation therapy (IMRT), tomotherapy (Tomo), and stereotactic body radiation therapy have been available since 1997. After being covered by insurance in 2015, the number of IMRT cases rapidly increased 18-fold from 2011 to 2018 in Korea. IMRT, which uses a high-beam irradiation monitor unit, requires higher shielding conditions than conventional radiation treatments. However, to date, research on the shielding of facilities using IMRT and the current understanding of its status are insufficient, and detailed safety regulation procedures have not been established. This study investigated the recommended criteria for the shielding evaluation of facilities using medical linear accelerators (LINACs), including 1) the current status of safety management regulations and systems in domestic and international facilities using medical LINACs and 2) the current status of the recommended standards for safety management in domestic and international facilities using medical LINACs. It is necessary to develop and introduce a safety management system for facilities using LINACs for clinical applications that is suitable for the domestic medical environment and corresponds to the safety management systems for LINACs used overseas.
Keywords
Intensity-modulated radiation therapy; Shielding; Medical safety; Linear accelerator; Monitor unit;
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  • Reference
1 International Commission on Radiological Protection. Recommendations of the ICRP. ICRP publication 103. London: Pergamon; 2007.
2 Rim CH, Lee J, Kim WC, Yang D, Yoon WS, Koom WS, et al. A survey of radiation therapy utilization in Korea from 2010 to 2016: focusing on use of intensity-modulated radiation therapy. J Korean Med Sci. 2018;33:e67.   DOI
3 Cakir A, Akgun Z, Fayda M, Agaoglu F. Comparison of three dimensional conformal radiation therapy, intensity modulated radiation therapy and volumetric modulated arc therapy for low radiation exposure of normal tissue in patients with prostate cancer. Asian Pac J Cancer Prev. 2015;16:3365-3370.   DOI
4 Mutic S, Low DA, Klein EE, Dempsey JF, Purdy JA. Room shielding for intensity-modulated radiation therapy treatment facilities. Int J Radiat Oncol Biol Phys. 2001;50:239-246.   DOI
5 Nuclear Safety and Security Commission. Enforcement decree of the nuclear safety act. Seoul: Nuclear Safety and Security Commission; 2020.
6 International Commission on Radiological Protection. Radiation protection; recommendations: adopted September 9, 1958. London: Pergamon; 1959.
7 International Commission on Radiological Protection. Recommendations of the ICRP. ICRP publication 9. London: Pergamon; 1966.
8 National Council on Radiation Protection and Measurements. Structural shielding design and evaluation for medical use of X rays and Gamma rays of energies up to 10 MeV. NCRP Report. Bethesda: NCRP. 1976; 49.
9 National Council on Radiation Protection and Measurements. Radiation protection for particle accelerator facilities. NCRP Report. Bethesda: NCRP. 2003; 144.
10 International Atomic Energy Agency. Radiation protection in the design of radiotherapy facilities. Vienna: IAEA; 2006.
11 International Organization for Standardization. Radiological protection- medical electron accelerators- requirements and recommendations for shielding design and evaluation. Geneva: IOS; 2016.
12 Horton P, Eaton D. IPEM report 75. Design and shielding of radiotherapy treatment facilities. Bristol: IOP Publishing; 2017.
13 International Commission on Radiological Protection. Recommendations of the ICRP. ICRP publication 26. London: Pergamon; 1977.
14 Nuclear Safety and Security Commission. Enforcement regulation of the nuclear safety act. Seoul: Nuclear Safety and Security Commission; 2019.
15 International Commission on Radiological Protection. Recommendations of the ICRP. ICRP publication 60. London: Pergamon; 1990.
16 The Council of the European Union. Directives. Council Directive 2013/59/euratom. Official Journal of the European Union; 2013.
17 Nuclear Safety and Security Commission. No. 2019-10. Standards for radiation protection, etc. Seoul: Nuclear Safety and Security Commission; 2019.
18 Nuclear Safety and Security Commission. No. 2019-21. Radiation safety report guidelines, etc. Seoul: Nuclear Safety and Security Commission; 2019.
19 National Council on Radiation Protection and Measurements. Structural shielding design and evaluation for megavoltage X- and Gamma-ray radiotherapy facilities. NCRP Report. Bethesda: NCRP. 2005; 151.
20 National Council on Radiation Protection and Measurements. Radiation protection design guidelines for 0.1 to 100 MeV particle accelerator facilities. NCRP Report. Bethesda: NCRP. 1978; 51.
21 National Council on Radiation Protection and Measurements. Neutron contamination from medical electron accelerators. NCRP Report. Bethesda: NCRP. 1986; 79.
22 Nuclear Safety Authority: Regulations. Nuclear safety and radiation protection in France in 2012. Montrouge: Nuclear Safety Authority; 2013.