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模拟定位机房改建成加速器放射治疗机房的防护设计及效果分析

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目的 分析并确定改建加速器治疗机房的屏蔽防护设计方案,对机房外关注点的辐射水平进行估算和验证,为放射治疗机房防护的科学设计提供实验依据.方法 2020-2023年以北京市某医院1台10 MV加速器及其拟改建成的治疗机房为研究对象,采用IAEA 47、NCRP 151和GBZ/T 201.2-2011《放射治疗机房的辐射屏蔽规范第2部分:电子直线加速器放射治疗机房》等提供的计算方法估算加速器机房主射线束方向的屏蔽宽度和机房外关注点的剂量率,使用6150 AD b/H/型X、γ剂量率仪对机房外关注点的辐射水平进行验证测试,依据相关技术规范和标准进行分析和评价.结果 将1间X射线常规模拟定位机房改建成最高X射线为10 MV的加速器治疗机房,确定了加速器治疗机房屏蔽设计方案;南墙外、北墙外和室顶外主束区剂量率分别为1.67、0.30和1.65 μSv/h,墙体外主束区剂量率理论计算值与实测值几乎一致,墙体外次束区实测值均为现场本底辐射水平;防护门外实测剂量率均<2.5 μSv/h,门体表面剂量率实测值约为理论计算值的4倍.结论 以模拟定位机房场区改建成加速器治疗机房的屏蔽设计方案是合理可行的,其中防护门的屏蔽设计及其效果验证是放射防护的重点,应采取适当措施有效降低防护门外辐射水平.
Protection design and effect analysis of transforming simulation positioning room into accelerator radiotherapy room
Objective To analyze and determine the shielding protection design project of a rebuilt accelerator radiotherapy room,and to estimate and verify the radiation level of the focus area outside the room,so as to provide experimental basis for the scientific design of radiation protection of therapy room.Methods From 2020 to 2023,A 10 MV accelerator and the treatment room to be rebuilt were used as the research objects,the shielding width of primary radiation beam and the dose rate of the attention points outside the accelerator room were estimated and detected by means of the calculation methods provided by IAEA 47,NCRP 151 and GBZ/T 201.2-2011"Radiation shielding specification for radiation therapy room Part 2:Electronic linear accelerator radiation therapy room",etc.An X/γ dose rate meter typed 6150 AD b/H/was used to verify the radiation level of attention area outside the machine room,and analyzed and the measurement data were evaluated according to relevant technical specifications and standards.Results A normal X-ray simaulating positioning machine room was transformed into an accelerator radiotherapy room with a maximum X-ray of 10 MV,and the shielding design of the accelerator radiotherapy room was determined.The dose rates from the primary radiation beam zone outside the south wall,the north wall and the roof of the room were 1.67,0.30 and 1.65 μSv/h,respectively.The theoretical calculated dose rates from the primary radiation beam zone outside the wall were almost consistent with the measured values,and the measured values in the second radiation beam zone outside the wall were all in the background radiation levels.The measured dose rate outside the protective door were all lower than 2.5 μSv/h,and the measured dose rate on the surface of the door body was about 4 times of the theoretical calculated value.Conclusion It is reasonable and feasible to change the area of simulating positioning machine into an accelerator treatment room,the shielding design of the protective door and its effect verification are the key points of radiation protection and appropriate measures should be taken to effectively reduce the radiation level outside the protective door.

AcceleratorRadiotherapy roomProtection designRadiation protection

张朝、刘小丽、马永忠

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首都医科大学附属北京妇产医院/北京妇幼保健院医学工程处,北京 100006

北京市疾病预防控制中心/北京市预防医学研究院放射卫生防护所,北京 100013

加速器 放射治疗机房 防护设计 放射防护

北京市高层次公共卫生技术人才建设项目

学科带头人-01-20

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(10)