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108 Cards in this Set

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A set of numeric dose limits that are based on calculations of the various risks of cancer and genetic effects to tissues or organs exposed to radiation

Effective dose limiting system

The document that incorporates the effective dose limiting system

Title 10 of the code of federal regulations, part 20

What is the basis for the effective dose limiting system?

The concept of radiation exposure and of the associated risk of radiation-induced malignancy

Future radiation protection standards are expected to continue to be based on what?

Risk

What are the four advisory committees?

ICRP, NCRP, UNSCEAR, NAS/NRC-BEIR

What are the five regulatory committees?

NRC, Agreement states, EPA, US FDA, OSHA

Considered the international authority on the safe use of sources of ionizing radiation

ICRP

What does ICRP stand for?

International Commission on radiologic protection

The ICRP is composed of what members?

A main commission with 12 active members, a chairman, and four standing committees

The ICRP provides recommendations for what?

Occupational dose limits and public dose limits

What does NCRP stand for?

National Council on Radiation Protection and Measurements

Determines the way ICRP recommendations are incorporated into US radiation protection criteria

NCRP

How does the NCRP determine the way ICRP recommendations are incorporated into US radiation protection criteria?

By formulating general recommendations, and publishing their recommendations in the form of various reports

What does UNSCEAR stand for?

United Nations Scientific Committee on the Effects of Atomic Radiation

Formulates radiation protection guidelines

UNSCEAR

Scientific basis for radiation safety protection activities

NCRP

UNSCEAR evaluates human and environmental ionizing radiation exposure from a variety of sources, including:

Radioactive materials, radiation producing machines, radiation accidents

Which organization uses epidemiologic data acquired from the radiation effects research foundation and research conclusions to derive radiation risk assessments for cancer and hereditary effects?

UNSCEAR

Which group is similar to UNSCEAR but they publish articles?

NAS/NRC-BEIR

Another advisory group that reviews studies of biologic effects of ionizing radiation and risk assessment

NAS/NRC-BEIR

What groups of people are included in the BEIR reports?

Early radiation workers, atomic bomb victims of Hiroshima and Nagasaki, evacuees from the Chernobyl nuclear power station disaster

What does NAS/NRC-BEIR stand for?

National Academy of Sciences/National Research Council Committee on the Biological Effects of Ionizing Radiation

A federal agency that has the authority to control the possession, use, and production of atomic energy in the interest of National Security. Also has the power to enforce radiation protection standards

NRC

What does NRC stand for?

Nuclear Regulatory Commission

True or false? The NRC regulates x-ray Imaging facilities

False

What is the function of the NRC?

To oversee the nuclear energy industry

inspection of nuclear reactors and assurance of adherence to Federal radiation safety regulations in agreement or non agreement states fall solely under the jurisdiction of who?

NRC

Who created EPA?

Nixon

Facilitates the development and enforcement of regulations pertaining to the control of radiation in the environment. Directs federal agencies, oversees the general area of environmental monitoring, has oversight authority for specific areas such as determining the action level for radon

EPA

Conducts an ongoing product radiation control program, regulating the design and manufacturing of electronic products, including diagnostic X-ray equipment

FDA

Regulates faulty machines, mammo, and xray facility standards

FDA

A monitoring agency and places of employment, predominantly and industry. Regulates occupational exposure to radiation. "Right to know"

OSHA

What are some functions of the radiation safety committee?

Provides guidance for the program, facilitates ongoing operation of the program, selects a qualified person to serve as a radiation safety officer

ALARA was put forth by who?

NCRP

What NCRP report outlines ALARA?

#160

What is another term for ALARA?

Optimization

What does LNT stand for?

Linear non-threshold

Provides federal legislation requiring the establishment of minimum standards for the accreditation of education programs for people who perform radiologic procedures and certification of such people

Consumer patient radiation health and safety act of 1981

What is the purpose of the consumer patient radiation health and safety act of 1981?

To ensure that standard medical and dental radiologic procedures and here to rigorous safety precautions and standards

Effects whose severity does not depend on the radiation dose, but the probability of occurrence

Stochastic effects

Effects involving injury or death of many cells

Deterministic effects

Effects that exhibit a threshold dose below which the response does not normally occur and above which the severity of the biologic damage increases as the dose increases

Tissue reactions

Biologic somatic effects of ionizing radiation that can be directly related to the dose received

Tissue reactions

True or false? Tissue reactions typically occur only after large doses of radiation

True

What are some early consequences of radiation sickness?

Hematopoietic syndrome, gastrointestinal syndrome, cerebrovascular syndrome

Early tissue reactions have a high probability of occurring when entrance radiation doses exceed what?

2 Gyt

What two factors were considered in developing the present effective dose limiting recommendations?

Genetic and somatic responses to ionizing radiation

Current radiation protection philosophy is based on what?

The assumption that a linear non threshold relationship exists between radiation dose and biologic response

The current method for controlling risk of biologic damage to radiation workers and the general public from radiation exposure

EfD

The effective dose limit is the upper boundary dose of ionizing radiation that results in the negligible risk of what?

Bodily injury or hereditary damage

EfD limits may be expressed for what?

Whole body exposure, partial body exposure, and exposure of individual organs

The sum of what is considered when effective dose limits are established?

External and internal whole body exposures

True or false? Upper limits do not include natural background and medical radiation?

True

What is the occupational risk generally estimated to be?

A 2.5% chance of fatal accident over an entire career

There is evidence of a dose-dependent increase in the incident of severe intellectual disability for fetal doses greater than approximately what?

0.4 Sv

The greatest risk for radiation-induced intellectual disability occurred when the embryo fetus was exposed how many weeks after conception?

8-15 weeks

The effective dose limiting system is an attempt to do what?

Equate the various risks of cancer and hereditary effects to the tissues or organs that were exposed to radiation

Indicates the ratio of the risk of stochastic effects attributable to irradiation of a given organ or tissue to the total risk when the whole body is uniformly irradiated

Tissue weighting factor

What NCRP document outlines the tissue weighting factors?

#116

What is the annual occupational effective dose limit?

50 mSv

The lifetime effective dose in millisieverts should not exceed what?

10 times the occupationally exposed persons age in years

In 1991, the ICRP recommended the reduction of the annual effective dose limit for occupational expose people from 50 mSv to what?

20 mSv

The recommended annual effective dose limit for continuous or frequent exposures from artificial sources, other than medical or radiation and natural background, is what?

1 mSv

The recommended annual effective dose limit for infrequent exposures from artificial sources other than medical radiation and natural background is what?

5 mSv

For pregnant female radiation workers, a monthly equivalent dose limit for the embryo fetus should not exceed what?

0.5 mSv per month

The equivalent dose limit during the entire pregnancy for a pregnant female radiation worker should not exceed what?

5.0 mSv

The limit for any education and training of individuals under the age of 18 years old is an effective dose of what annually?

1 mSv

The equivalent dose annual limits for the crystalline lens of the eye is what?

150 mSv

The equivalent dose annual limits for localized areas of the skin, the hands, and the feet is what?

500 mSv

What is the annual negligible individual dose limit?

0.01 mSv per year

Personnel dosimeter readings should be well below what fraction of the maximum effective dose limits?

1/10th

the concept that there exists a beneficial aspect or result to groups of individuals from continuing exposure to small amounts of radiation

Radiation hormesis

Leakage radiation from the tube cannot exceed what?

1 mGya/hr (100 mR/hr) when the tube is operated at it's highest voltage at the highest current that allows continuous operation

The x-ray table must be able to support a person weighing over what?

300 lbs

Distance and centering indicators must be accurate to within what percentage of the SID, respectively?

2% and 1%

Used to adjust the size and shape of the X-ray beam either automatically or manually

Light-localizing variable-aperature rectangular collimator

What are the 3 types of X-ray beam limitation devices?

Collimator, cones, cylinders

The patients skin surface should be how far from the collimator?

15 cm

The primary unit of luminance

Candela per square meter, or the nit

What is the inherent filtration?

1.5mm

What is the added filtration?

1 mm

What is HVL?

The thickness of a designated absorber required to decrease the intensity of the primary beam by 50% of its initial value

What are compensating filters made of?

Aluminum, lead-acrylic, or other suitable materials

What are two types of compensating filters?

Wedge filter, trough or bilateral wedge filter

Consistency in output in radiation intensity for identical generator settings from one individual exposure to subsequent exposures

Exposure reproducibility

Consistency in output radiation intensity at selected kvp settings when generator settings are changed from one ma and time combination to another

Exposure linearity

What percentage can the exposure reproducibility vary?

5% or less

What percentage can the exposure linearity vary?

10%

What are the low attenuation strips in a radiographic grid made out of?

Aluminum, plastic fiber, wood

What is the relationship between grid ratio and patient dose?

Direct relationship

What is the minimum SSD for mobile radiography?

30cm or 12in

What is the minimum SSD for stationary fluoroscopy?

38cm or 15in

What is the kvp range for fluoroscopic procedures?

75-110 kvp

When kvp ranges from 80 to 100, what is an acceptable half value layer?

3-4.5 mm aluminum

The intensity at the table top surface should not exceed what dose for each mA of operation at 80 kvp?

21 mGya/min or 2.1 R

When aluminum filtration increases from 1 to 3 mm, how much does patient dose decrease?

1/4th

Entrance skin exposure rate of general-purpose intensified fluoroscopic units with maximum technique factors should not exceed what dose limit?

100 mGya/min, or 10 R/min

A primary protective barrier of what led equivalency is required for a fluoroscopic unit?

2mm

Fluoroscopic units equipped with high-level control can have a maximum dose of what?

200 mGya/min (20 R/min)

Tthe FDA has recommended that a notation be placed in the patient's record if the skin dose in the range of what is received?

1-2 Gyt

Which organization reviews studies of biological effects of ionizing radiation and risk assessment and provides information to organizations such as the ICRP for evaluation?

NAS/BEIR

Which organization reviews regulations formulated by the ICRP and decides ways to include those recommendations and US radiation protection criteria?

NCRP

Which organization enters into written agreements with state governments that permit the state to license and regulate the use of radioisotopes?

NRC

Which organization facilitates the development and enforcement of regulations pertaining to the control of radiation in the environment?

EPA

What is based on calculations of the various risks of cancer and genetic effects to tissues or organs exposed to radiation and has been incorporated into 10 CFR 20?

Effective dose limiting system

What are the two all-inclusive categories that encompass radiation-induced responses?

Deterministic and stochastic

Which law allows the FDA to regulate the design and manufacturing of electronic products, including diagnostic X-ray equipment?

Radiation control for health and safety act of 1968

Which law ensures that standard medical and dental radiologic procedures adhere to rigorous safety precautions and standards?

Patient radiation health and safety act of 1981