Verification of dose limitation of the general public and determination of lead equivalence of x-ray rooms at Karolinska University Hospital Huddinge

Abstract: A variety of radiation sources exist at the Department of Radiology and the Department of Nuclear Medicine at Karolinska University Hospital Huddinge. Radiation sources can also be found in areas outside of these departments due to the wide use of mobile xray machines and fluoroscopic c-arm equipment and also due to the movement of patients that have received diagnostic or therapeutic doses of radionuclides. In a proposal for a new legislation from the Swedish Radiation Protection Authority (SSI), which was later issued as legislation SSI FS 2005:6, the effective doses of the general public from a practice using ionising radiation need to be kept below stated limit of 0.1 mSv/year. This project was performed to verify the dose limit for individuals of the general public in the above mentioned practices. Long-term measurements with TL-dosimeters were utilised to carry out the environmental monitoring of the areas throughout the Departments of Radiology and Nuclear Medicine. To assess the contribution of ionising radiation from rooms housing mobile fluoroscopic c-arm equipment to surrounding areas, a tissue equivalent phantom of size (30×30×20 cm3) was employed to simulate a patient and the scattered radiation was monitored by using area monitors, such as portable proportional counters. The annual effective doses were calculated in terms of personal dose equivalent as well as ambient dose equivalent monitored using TL-dosimeters and area monitors, respectively. The stated limit of 0.1 mSv/year to the general public was verified by risk analysis. An attempt to create a method for determining the amount of radiation shielding in terms of lead equivalence in walls, doors, protective glasses of manoeuvre rooms and cupboards of diagnostic x-ray labs was also performed using a radiation point source of 99mTc and a NaI scintillation detector. Depending on the accuracy in the measurements the amount of lead deviated slightly from the expected 2 mm value based on the former legislation SSI FS 1991:1.