Volume 97. ICRP Publication 97 Prevention of High-dose-rate Brachytherapy Accidents

1st Edition

Editor:

    • Print ISBN 9780080446585

    Table of Contents

    CONTENTS
    ABSTRACT i
    EDITORIAL 6
    PREFACE 8
    1. INTRODUCTION 11
    2. What is the purpose of this report? 12
    2.1. What is remote high dose rate brachytherapy? 13
    3. Current Clinical Use of HDR brachytherapy 15
    4. Infrastructure and Components of the Remote Afterloading HDR suite 16
    4.1. HDR Suite 17
    4.2. HDR Unit 18
    4.2.1. HDR source 18
    4.2.2. Afterloader device (treatment unit) 19
    4.2.3. Control console 20
    4.3. Applicators 20
    4.4. Treatment Planning System 21
    4.4.1. Preplanning 22
    4.4.2. Individualised planning 22
    4.5. Associated safety devices 22
    4.6. Building 23
    4.6.1. Infrastructure required for applicator/catheter placement (procedure room) 23
    4.6.2. Infrastructure required for localisation radiographs 23
    4.6.3. Infrastructure required for the treatment planning room 24
    4.6.4. Infrastructure required for the treatment room 24
    4.7. Imaging 24
    4.8. Equipment for radiation safety and source handling 25
    5. Personnel Requirements and Training 26
    5.1. Personnel requirements 26
    5.1.1. Radiation oncologist 26
    5.1.2. Medical physicist 27
    5.1.3. Technician / Brachytherapy technologist 28
    5.1.4. Nurse 28
    5.2. Is there need for special training for HDR procedures? 29
    5.2.1. Radiation oncologist training 29
    5.2.2. Physicist training 29
    5.2.3. Technician and nurse training 30
    5.2.4. Emergency procedures 30
    6. QUALITY ASSURANCE (QA) 31
    6.1. Clinical QA 31
    6.2. Physical quality assurance 31
    6.3. Organisational quality assurance 32
    6.4. Specific QA related to HDR units 32
    6.5. Special requirements for interstitial brachytherapy 32
    7. EXPOSURES, EVENTS, AND ACCIDENTS 33
    7.1. Events related to packing and transport 33
    7.2. Exposures to personnel and public 34
    7.3. Events during operation 34
    7.3.1. Reported mechanical and computer events 34
    7.3.2. Reported human errors 35
    8. Examples of reported events 37
    8.1. The most severe case 37

    Details

    No. of pages:
    52
    Language:
    English
    Copyright:
    © 2006
    Published:
    Imprint:
    Elsevier
    Print ISBN:
    9780080446585