Dinio Rad Protection
Dinio Rad Protection
BSRT III
RAD. PROTECTION
Personal Protective Devices
Types of PPE
Construction
Any toxic material used for the attenuation of x-rays in PPE should be sandwiched
between inert material or encapsulated in a substance which does not allow the toxic
material to come in contact with the wearer. The attenuating material should be
affixed to the encapsulating material to prevent the material from sagging,
delaminating, tearing or distorting over time.
Fit
The fit of the protective equipment should be such that all of the organs and parts of
the body which are intended to be protected are protected in all postures and
attitudes (relative orientation to the x-ray source or scattering object) assumed by the
worker during an x-ray procedure. This may involve custom fitting; but at the very
least, the worker should have a choice of sizes.
The fit of wrap-around aprons should be such that the overlapping material provides
appropriate and adequate shielding. The area of the body covered by this material
should include the entire front of the body (anterior surface) and should extend to the
posterior midline of the body.
The thyroid collar and apron should fit together in a complementary fashion so that
there are no gaps between them.
Use
If a worker’s duties necessitate turning his or her back to the scattering object
(patient) for a significant portion of time (based on the risk assessment), the lateral
and posterior layers of the protective equipment should provide appropriate and
adequate shielding. In dose-intensive applications such as angiography, heart
catheterization and interventional imaging, open-backed aprons are not acceptable
for use by anyone other than the fluoroscopist controlling the foot pedal or exposure
switch.
Leaded glasses
In procedures where scatter radiation to the lens of the eye could approach the
annual dose equivalent limit of 150 millisieverts, as per Regulation 861, the use of
leaded glasses is recommended.
Protective gloves
Labeling
PPE should be labeled with the lead-equivalent thickness of the material permanently
and legibly marked as per Health Canada Safety Code 35. The specific room the
apron is used in, or application the apron is used with, should also be specified on
the label.
Any protective equipment that exhibits visual, tactile or x-ray examination defects,
must be repaired or replaced. This includes tears, separation from stitching, distortion
producing a non-uniform attenuation and multiple pinholes or punctures.
In summary, lead apparel which contains defects such as holes or cracks should be
decommissioned if the aggregate area of the holes or cracks exceeds those in the
table below:
Dosimeters
Film Badges
Film badges were once the principal type of dosimeter. They are still in use today, but
are much less common. They consist of one or two pieces of dental film, paper-wrapped
and enclosed in a badgelike holder. Several filters are incorporated in the badge so that
if the unfiltered exposure exceeds the capacity of the film, additional exposure can be
Dinio, John Dominique P
BSRT III
RAD. PROTECTION
measured in the filtered area. The disadvantage of this type of personal monitor is that
the dental film is subject to fog when exposed to heat or fumes, and this exposure could
result in a false reading. The film is also ruined if it is laundered! After a period of use,
the film is returned to a laboratory that processes it and measures the OD of the film.
The exposure is calculated and reported based on this measurement. Many
radiographers still refer to their dosimeters as "film badges," but today they are more
likely to be TLDs or OSLs.
TLD stands for thermoluminescent dosimeter. The roots of this term mean "dose-
measuring device that gives off light when heated." The TLD is a type of personal
monitor commonly used by radiographer 36). It consists of a plastic badge or ring
containing one or more lithium fluoride crystals. These crystals (and several others with
similar characteristics) absorb x-ray energy and, when heated, give off the energy again
in the form of light. The TLD is more durable than the film badge insert and responds
only to ionizing radiation exposure. At the end of the measurement period, the badge is
sent to a laboratory where the crystals are placed in a special tray and inserted into the
TLD analyzer. This instrument heats the crystals to the required temperature, measures
the light emitted, and transmits the data to a computer.
OSL stands for optically stimulated luminescence and refers to the most recently
developed monitoring dosimeter. Aluminum oxide is the radiation detector in this device.
The dosimeter is processed using a laser rather than heat as for TLDs. OSLs have
several advantages over TLDs. They can measure very small doses more precisely and
can be reanalyzed to confirm results. They are accurate over a wide dose range and
have excellent long-term stability.
Radiation badge service companies will want to know the name, birth date, and Social
Security number of all persons to be monitored so that all records can be accurately
identified. If there has been a history of previous occupational radiation exposure and
the dose is known, this information should also be provided so that the record will be
complete and accurate. Exposure reports are sent to the subscriber for each batch, and
an annual summary of personal exposure is also provided. Radiation workers should be
advised of the radiation exposure reported from their badges and should be provided
with copies of the annual reports for their own records. Employees exposed to ionizing
radiation should not leave their employment without a complete record of their radiation
exposure history. Employers are required to provide this information.