Investigation of an Accidental Exposure of Radiotherapy Patients in Panama


Book Description

This report, compiled by a team of senior experts, contains the assessment of a radiological accident which led to serious overexposure of radiotherapy patients in Panama. The report evaluates the doses incurred, undertakes a medical evaluation of the affected patients' prognosis and treatment, and closes with lessons to be learned.




Lessons Learned from Accidental Exposures in Radiotherapy


Book Description

This Safety Report is a review of a large number of events that may serve as a checklist against which to test the vulnerability of a facility to potential accidents, and to provide a basis for improving safety in the use of radiation in medical applications. Furthermore, it is intended to encourage the development of a questioning and learning attitude, the adoption of measures for the prevention of accidents, and the preparation for mitigation of the consequences of accidents, if they occur.




The Radiological Accident in Chilca


Book Description

Under the Convention on Assistance in the Case of a Nuclear or Radiological Emergency, the Peruvian authorities requested assistance from the IAEA in relation to the radiological accident that occurred during non-destructive testing using a nuclear radioactive source in the district of Chilca, Peru, in 2012. This assistance related to dose assessment and medical management of those involved in the accident was provided during 2012 and 2013. The report gives a detailed account and analysis of the event, as well as, the actions taken in order to assist organizations responsible for radiation protection, source safety and emergency preparedness and response in identifying lessons to be learned that may help to prevent similar accidents.




Setting Up a Radiotherapy Programme


Book Description

This publication provides guidance for designing and implementing radiotherapy programmes, taking into account clinical, medical physics, radiation protection and safety aspects. It reflects current requirements for radiotherapy infrastructure in settings with limited resources. It will be of use to professionals involved in the development, implementation and management of radiotherapy programmes




Radiation


Book Description

The author is ready to assert that practically none of the readers of this book will ever happen to deal with large doses of radiation. But the author, without a shadow of a doubt, claims that any readers of this book, regardless of gender, age, financial situation, type of professional activity, and habits, are actually exposed to low doses of radiation throughout their life. This book is devoted to the effect of small doses on the body. To understand the basic effects of radiation on humans, the book contains the necessary information from an atomic, molecular and nuclear physics, as well as from biochemistry and biology. Special attention is paid to the issues that are either not considered or discussed very briefly in existing literature. Examples include the ionization of inner atomic shells that play an essential role in radiological processes, and the questions of transformation of the energy of ionizing radiation in matter. The benefits of ionizing radiation to mankind is reflected in a wide range of radiation technologies used in science, industry, agriculture, culture, art, forensics, and, what is the most important application, medicine. Radiation: Fundamentals, Applications, Risks and Safety provides information on the use of radiation in modern life, its usefulness and indispensability. Experiments on the effects of small doses on bacteria, fungi, algae, insects, plants and animals are described. Human medical experiments are inhuman and ethically flawed. However, during the familiarity of mankind with ionizing radiation, a large number of population groups were subject to accumulation, exposed to radiation at doses of small but exceeding the natural background radiation. This book analyzes existing, real-life radiation results from survivors of Hiroshima and Nagasaki, Chernobyl and Fukushima, and examines studies of radiation effect on patients, radiologists, crews of long-distant flights and astronauts, on miners of uranium copies, on workers of nuclear industry and on militaries, exposed to ionizing radiation on a professional basis, and on the population of the various countries receiving environmental exposure. The author hopes that this book can mitigate the impact of radiation phobia, which prevails in the public consciousness over the last half century. - Explores the science of radiation and the effects of radiation technologies and biological processes - Analyzes the elementary processes of ionization and excitation - Summarizes information about inner shells ionization and its impact on matter and biological structures - Discusses quantum concepts in biology and clarifies the importance of epigenetics in radiological processes - Includes case studies focusing on humans irradiated by low doses of radiation and its effects




Industrial and Medical Nuclear Accidents


Book Description

The peaceful use of atomic energy has given rise to a variety of nuclear accidents from the start. This concerns all forms of use, industrial and medical. For each accident, Industrial and Medical Nuclear Accidents details the contamination of the environment, flora and fauna, and quantifies the effects of ionizing radiation. The book also examines the adverse effects on the health, both physical and mental, of the human populations concerned. The monetary cost is also evaluated. The research presented in this book is based on scientifically recognized publications and on the reports of national and international organizations competent in this field (IAEA, WHO, UNSCEAR, IRSN, etc.). The book contains chapters devoted to the most recent accidents (Chernobyl and Fukushima), with a large body of institutional and academic literature.




Fix IT


Book Description

New technologies like AI, medical apps and implants seem very exciting but they too often have bugs and are susceptible to cyberattacks. Even well-established technologies like infusion pumps, pacemakers and radiotherapy aren't immune. Until digital healthcare improves, digital risk means that patients may be harmed unnecessarily, and healthcare staff will continue to be blamed for problems when it's not their fault. This book tells stories of widespread problems with digital healthcare. The stories inspire and challenge anyone who wants to make hospitals and healthcare better. The stories and their resolutions will empower patients, clinical staff and digital developers to help transform digital healthcare to make it safer and more effective. This book is not just about the bugs and cybersecurity threats that affect digital healthcare. More importantly, it's about the solutions that can make digital healthcare much safer.




Medical Management of Radiation Injuries


Book Description

This publication focuses on the medical management of individuals involved in radiation emergencies, especially those who have been exposed to high doses of ionizing radiation. Its primary objective is to provide practical information, to be used for treatment decisions by medical personnel during a radiation emergency. It also addresses general and specific measures for the medical management of individuals who have been internally contaminated with radionuclides. This publication is complementary to other publications developed by the IAEA in the medical area of radiation emergencies.




Scintillation Dosimetry


Book Description

Scintillation Dosimetry delivers a comprehensive introduction to plastic scintillation dosimetry, covering everything from basic radiation dosimetry concepts to plastic scintillating fiber optics. Comprised of chapters authored by leading experts in the medical physics community, the book: Discusses a broad range of technical implementations, from point source dosimetry scaling to 3D-volumetric and 4D-scintillation dosimetry Addresses a wide scope of clinical applications, from machine quality assurance to small-field and in vivo dosimetry Examines related optical techniques, such as optically stimulated luminescence (OSL) or Čerenkov luminescence Thus, Scintillation Dosimetry provides an authoritative reference for detailed, state-of-the-art information on plastic scintillation dosimetry and its use in the field of radiation dosimetry.




Handbook of Radiotherapy Physics


Book Description

From the essential background physics and radiobiology to the latest imaging and treatment modalities, the updated second edition of Handbook of Radiotherapy Physics: Theory & Practice covers all aspects of the subject. In Volume 1, Part A includes the Interaction of Radiation with Matter (charged particles and photons) and the Fundamentals of Dosimetry with an extensive section on small-field physics. Part B covers Radiobiology with increased emphasis on hypofractionation. Part C describes Equipment for Imaging and Therapy including MR-guided linear accelerators. Part D on Dose Measurement includes chapters on ionisation chambers, solid-state detectors, film and gels, as well as a detailed description and explanation of Codes of Practice for Reference Dose Determination including detector correction factors in small fields. Part E describes the properties of Clinical (external) Beams. The various methods (or ‘algorithms’) for Computing Doses in Patients irradiated by photon, electron and proton beams are described in Part F with increased emphasis on Monte-Carlo-based and grid-based deterministic algorithms. In Volume 2, Part G covers all aspects of Treatment Planning including CT-, MR- and Radionuclide-based patient imaging, Intensity-Modulated Photon Beams, Electron and Proton Beams, Stereotactic and Total Body Irradiation and the use of the dosimetric and radiobiological metrics TCP and NTCP for plan evaluation and optimisation. Quality Assurance fundamentals with application to equipment and processes are covered in Part H. Radionuclides, equipment and methods for Brachytherapy and Targeted Molecular Therapy are covered in Parts I and J, respectively. Finally, Part K is devoted to Radiation Protection of the public, staff and patients. Extensive tables of Physical Constants, Photon, Electron and Proton Interaction data, and typical Photon Beam and Radionuclide data are given in Part L. Edited by recognised authorities in the field, with individual chapters written by renowned specialists, this second edition of Handbook of Radiotherapy Physics provides the essential up-to-date theoretical and practical knowledge to deliver safe and effective radiotherapy. It will be of interest to clinical and research medical physicists, radiation oncologists, radiation technologists, PhD and Master’s students.