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CHAPTER 4 Radiation Quantities and Units
67
TABLE 4.3 Organ or Tissue Weighting
Factors
Organ or Tissue Weighting Factor (WT)
Gonads 0.20 Red bone marrow 0.12 Colon 0.12 Lung 0.12 Stomach 0.12 Bladder 0.05 Breast 0.05 Liver 0.05 Esophagus 0.05 Thyroid 0.05 Skin 0.01 Bone surface 0.01 Remainder*
*The remainder takes into account the following additional tissues and organs: adrenals, brain, small intestine, large intes­tine, kidney, muscle, pancreas, spleen, thymus, and uterus.
In extraordinary circumstances in which one of the remainder tissues or organs receives an equivalent dose in excess of the highest dose in any of the 12 organs for which a weighting factor (WT) is specified, a WT of 0.025 should be applied to that tissue or organ and a WT of 0.025 to the average dose in the other remainder tissues or organs. Data from National Council on Radiation Protection and Mea­surements (NCRP): Limitation of exposure to ionizing radiation, Report No. 116, Bethesda, Md, 1993, NCRP. Reprinted with permission of the National Council on Radiation Protection and Measurements, http://NCRPonline.org.
0.05
the risk to the entire organism brought on by all types of irradiation of individual tissues and organs. The ICRP originally introduced the WT concept because uniform, whole-body irradiation seldom occurs, caus­ing different organs and body tissues to vary consider­ably in the amount of D received and, consequently, the intensity of their response.
To determine EfD, an D is multiplied by a WR to obtain EqD and that product is multiplied by a tissue weighting factor (WT) to give:
EfD 5 D 3 WR 3 W
T
EfD is expressed in sieverts or millisieverts. An example of determining and expressing EfD in Sv is provided in Box 4.8.
EfD can be used to compare the average detrimental amount of radiation received by the entire body from a specific radiologic examination with that from natural
BOX 4.8 Determining and Expressing
Effective Dose in Sievert
Example: The WR for alpha particles is 20 (see Table 4.2), and the W lungs receive an absorbed dose (D) of 0.5 Gy exposure to alpha radiation, what is the effective dose (EfD) in Sv? Answer:
5 0.5 3 20 3 0.12 5 1.2 Sv
for the lung is 0.12 (see Table 4.3). If the
T
EfD 5 D 3 W
3 W
R
T
from
t
TABLE 4.4 Typical Values for Radiation
Doses Associated With an Anteroposterior Lumbar Spine Examination
Absorbed dose to skin at entrance surface 6.4 mGy Absorbed dose to bone marrow 0.6 mGy Absorbed dose to a fetus 3.5 mGy Equivalent dose to a fetus 3.5 mSv Effective dose to a fetus 3.3 mSv
background radiation (see Table 1.1). By using the back­ground equivalent radiation time (BERT) method as discussed in Chapter 1, it is possible to describe the examination’s significant radiation dose in terms of the length of time it would take to acquire a compa­rable amount from environmental sources.
Table 4.4 gives some typical values for radiation
doses that are associated with a radiographic examina­tion of the lumbar spine, and it illustrates some of the principles of the different ways to specify radiation dose. The dose to the patient is highest at the “entrance skin surface,” the surface of the patient that is toward the x-ray tube. This surface will be exposed to the unattenu­ated primary beam of x-rays. Absorbed doses to various organs may be calculated from standard tables. Two organ absorbed doses are given in Table 4.4, namely, bone marrow and fetus. The EqD to the fetus is also given and is the same as the D to the fetus because the WR is 1. Finally, the EfD to the fetus is given. It was calculated from the various tissue weighting factors and organ absorbed doses for fetal organs in the field of view of this examination.
68
CHAPTER 4 Radiation Quantities and Units
BOX 4.9 Determining Collective Effective
Dose Using the Radiation Unit Person­Sievert
Example: If 200 people receive an average effective dose of 0.25 Sv, the collective effective dose (ColEfD) is 200 3 0.25 5 50 person-sieverts.

Collective Effective Dose

In addition to EqD and EfD, another dosimetric quan­tity has been derived and implemented for use in radia­tion protection. It takes into account both internal and external dose measurements. Collective Effective Dose
(ColEfD) represents an attempt to describe the radia-
tion exposure of a population or group from low doses of different sources of ionizing radiation. It is deter­mined as the product of the average EfD for an indi­vidual belonging to the exposed population or group and the number of persons exposed. The radiation unit for this quantity is person-sievert. An example using this unit is provided in Box 4.9. With respect to the validity of this concept, the ICRP states: “Collective effective dose is an instrument for optimization, for comparing radiological technologies and protection procedures. ColEfD is not intended as a tool for epidemiological studies, and it is inappropriate to use it in risk projec­tions. This is because the assumptions implicit in the calculation of ColEfD (e.g., when applying the LNT* model) conceal large biological and statistical uncer­tainties. Specifically, the computation of cancer deaths based on collective effective doses involving trivial exposures to large populations is not reasonable and should be avoided.”
4

Total Effective Dose Equivalent

Total Effective Dose Equivalent (TEDE) is a radiation
dosimetry quantity that was defined by the Nuclear Regulatory Commission (NRC) to monitor and control human exposure to ionizing radiation. Essentially, as described by NRC regulations, it is the sum of EfD equivalent from external radiation exposures and a quantity called Committed Effective Dose Equivalent
*LNT, which stands for linear nonthreshold, is a dose model that implies there is no dose value below which there is no risk of biologic damage and that the degree of risk is directly pro­portional to the dose at any level.
TABLE 4.5 SI Unit Equivalents
1 SI exposure unit
equals
1 coulomb equals 1 ampere-second 1 coulomb per kilo-
gram of air equals
1 gray equals 1 J/kg
1 sievert equals 100 centisievert (cSv)
1 joule equals 1 newton-meter 1 joule equals 6.24 3 10
1
R
4
2 58 10
( . )
1 SI unit of exposure
C/kg R
100 cGy 1000 mGy 1 J/kg (for x-radiation, Q 5 1)
1000 mSv 1 J/kg
7
10
1
eV
4
2 58 10
( . )
erg/kg 5 104 erg/gm
18
(CEDE)* from internal radiation exposures. Thus
TEDE is designed to take into account all possible sources of radiation exposure. It is a particularly useful dose monitor for occupationally exposed personnel such as nuclear medicine technologists and interven­tional radiologists, who are likely to receive possibly significant radiation exposure during the course of a year. Traditionally, the whole-body TEDE regulatory limit is 0.05 Sv for occupationally exposed personnel and 0.001 Sv for the general public. Radiation moni­toring services can provide annual TEDE values for individuals.
Table 4.5 and Table 4.6 summarize radiation quanti-
ties, units, and equivalents. An additional table empha­sizing relationship between traditional units and SI units is also found in Appendix A.
*The “committed dose” in radiation protection is a measure of the probabilistic health effect on an individual as a result of an intake of radioactive material into the body. A “committed dose” from an internal source takes into account the total amount of radiation dose delivered by radioactive material in the body until it is eliminated (exhaled, excreted, physically decays away). This is the origin of the name “committed effective dose equivalent.” For nuclear medicine technologists who, through certain proce­dures (e.g., thyroid ablations, using iodine-131), have a possibil­ity of radioisotope absorption and consequent internal expo­sure, committed dose is certainly an appropriate measure.
CHAPTER 4 Radiation Quantities and Units
TABLE 4.6 Summary of Radiation Quantities and Units
Measuring
Type of Radiation Quantity SI Unit
X-radiation or
gamma radiation
All ionizing radiations Absorbed dose (D) Gray (Gyt) Any object Amount of energy per unit
All ionizing radiations Equivalent dose (EqD) Sievert (Sv) Body tissue Biologic effects All ionizing radiations Effective dose (EfD) Sievert (Sv) Body tissue Biologic effects
Exposure (X) Coulombs per
kilogram (C/kg)
Air kerma Gray (Gy-a) Air Kinetic energy deposited in air
Medium Radiation Effect Measured
Air Ionization of air
mass absorbed by objectAir kerma Gray (Gyt)

S U M M A R Y

69
• German physics professor Wilhelm Conrad Roent­gen discovered “x-rays” on November 8, 1895, during an experiment investigating the nature of cathode rays and fluorescent materials.
• Many individuals who were exposed to substantial doses of x-rays in the early years after their discovery developed somatic damage from the exposure.
• Skin erythema dose was used from 1900 to 1930 as the unit for measuring radiation exposure. Eventu­ally a tolerance dose was established for occupation­ally exposed individuals that could be regarded as a threshold dose. MPD replaced the tolerance dose in the early 1950s. In 1977 dose equivalent or effective dose equivalent replaced the MPD. In 1991 the ICRP replaced effective dose equivalent with the term effec- tive dose, which is still in use today.
• Effective dose is based on the energy deposited in biologic tissue by ionizing radiation. It takes into account both the type of radiation and the variable sensitivity of the tissues exposed to the radiation. EfD is expressed in the SI unit sievert (Sv) or in sub­units of the sievert.
• In 1980 the ICRU adopted SI units for use with ionizing radiation. Many developed countries, par­ticularly in Europe, have already made a complete transition to SI units. In the United States, this tran­sition is not as yet fully complete, and some conven­tional units are still broadly in use.
• SI radiation units are preferred for specifying radia­tion quantities because the traditional system of units does not fit into the metric system that pro­vides “one unified system of units for all physical quantities.”
2
• Coulomb per kilogram (C/kg) is used for specifying x-ray or gamma ray exposure in air only. This exposure unit is equal to an electrical charge of 1 coulomb pro­duced in a kilogram of dry air by ionizing radiation.
• Air kerma is an SI quantity that is used to express how energy is transferred from a beam of radiation to air.
• DAP is the sum total of air kerma multiplied by the exposed area of the patient’s surface.
• Absorbed dose (D) is the amount of energy per unit mass absorbed by an irradiated object.
• The gray (Gy) is used for measuring absorbed dose in air (Gya) or for measuring absorbed dose in tissue (Gyt).
• The number of gray times 1000 equals the number of milligray. The number of gray times 100 equals the number of centigray.
• LET is the amount of energy transferred on average by incident radiation to an object per unit length of track, or passage, through the object and is expressed in units of kiloelectron volts per microm­eter (keV/µm).
• Equivalent dose (EqD) and effective dose (EfD) are the quantities of choice for measuring biologic ef­fects when all types of radiation must be considered.
• EqD specifies how the potential for biologic damage from different types and doses of radiation will be equivalent if correct weighting factors are included. To calculate equivalent dose: EqD 5 D 3 WR.
• EfD describes the total biologic damage to a human that is caused by equivalent doses received by spe­cific organs. To calculate effective dose: EfD 5 D 3 WR 3 WT.
70
CHAPTER 4 Radiation Quantities and Units
• In the SI system, sievert (Sv) or the subunits mil­lisievert and microsievert are used to specify EqD and EfD. These units are used for occupational radia­tion exposure.
• ColEfD represents an attempt to describe the radia­tion exposure of a population or group from low doses of different sources of ionizing radiation. Person-sievert is the radiation unit used to calculate this quantity. According to the ICRP it is not a valid method for computing the potential number of deaths from cancer.
• The radiation dosimetry quantity, TEDE, is designed to take into account all possible sources of radiation
• The CEDE in radiation protection is the total effec-

G E N E R A L D I S C U S S I O N Q U E S T I O N S

1. Why should diagnostic imaging personnel be famil-
iar with standardized radiation quantities and units?
2. When, where, and how did Wilhelm Conrad Roent-
gen discover x-rays?
3. What types of medical problems did early radiation
workers develop as a consequence of their occupa­tional exposure?
4. What is the benefit of using the International System
of Units of measurement for ionizing radiation?
5. What is a threshold dose?
6. In 1991 the International Commission on Radiologi-
cal Protection (ICRP) revised tissue weighting factors. On what data was this revision based?
7. What radiation quantities are currently in use, and
8. What instrument can be calibrated to read air
9. What factors determine the amount of x-ray energy
10. When a person receives exposure from various
11. How is centigray converted to gray?
12. How were radiation dose limits calculated and
exposure and is used for dose monitoring for occu­pationally exposed personnel who are likely to re­ceive possibly significant radiation exposure during the course of a year. The whole-body TEDE regula­tory limit for exposed personnel is 0.05 sievert and
0.001 sievert for the general public.
tive dose to an individual resulting from an intake of radioactive material into the body. Such material may remain in the body for some time, resulting in a dose that accumulates over time.
what SI units are used to relate these quantities?
kerma?
absorbed by a human anatomic structure?
types of ionizing radiation, what radiation quantity and what SI unit should be used to specify this exposure?
established?

R E V I E W Q U E S T I O N S

1. Which of the following was used as the first measure
of exposure for ionizing radiation?
A. Air kerma B. Skin erythema C. Sievert D. Roentgen
2. A radiation weighting factor (WR) has been estab-
lished for each of the following ionizing radiations: x-rays (WR 5 1), fast neutrons (WR 5 20), and alpha particles (WR 5 20). What is the total equiv­alent dose (EqD) in sieverts for a person who has received the following exposures: 0.2 Gyt of x-rays,
0.07 Gyt of fast neutrons, and 0.3 Gyt of alpha particles?
A. 9.4 Sv B. 7.6 Sv
C. 4.3 Sv D. 1.9 Sv
3. Which of the following is the unit of collective
effective dose (ColEfD)?
A. Coulombs per kilogram-sievert B. Gray-sievert C. Person-sievert D. Rad-sievert
4. The concept of tissue weighting factor (WT) is used
to do which of the following?
A. Account for the risk to the entire organism
brought on by irradiation of individual tissues and organs
B. Eliminate the need for determining effective dose C. Measure absorbed dose from all different types of
ionizing radiations
CHAPTER 4 Radiation Quantities and Units
71
D. Modify the radiation weighting factor for different
types of ionizing radiation
5. To convert the number of gray into milligray, the
number of gray must be:
A. Divided by 100 B. Divided by 1000 C. Multiplied by 100 D. Multiplied by 1000
6. What is the SI radiation unit coulomb per kilogram
used to specify?
A. Equivalent dose B. Absorbed dose in biologic tissue C. Radiation exposure in air only D. Speed at which x-ray photons travel
7. Which of the following radiation quantities accounts
for some biologic tissues being more sensitive to radiation damage than other tissues?
A. Absorbed dose B. Exposure C. Equivalent dose D. Effective dose
8. The radiation weighting factor for alpha particles
is 20, and the tissue weighting factor for the lungs is 0.12. If the lungs receive an absorbed dose of
0.2 Gyt from exposure to alpha particles, what is the effective dose in sievert?
A. 0.48 Sv B. 4.8 Sv C. 48.0 Sv D. 480.0 Sv
9. If 100 people received an average effective dose
of 0.35 Sv, what is the collective effective dose?
A. 17.5 person-sieverts B. 35 person-sieverts C. 70 person-sieverts D. 285 person-sieverts
10. How is the SI unit for dose area product (DAP)
usually specified?
A. Coulomb B. Erg-sec C. mGy-cm
2
D. Sievert
5

Radiation Monitoring

O B J E C T I V E S

After completing this chapter, the reader will be able to perform the following:
• Define all key terms.
• Discuss the requirement for a personnel dosimeter and explain the function and characteristics of such devices.
• Identify the appropriate location on the body where the personnel dosimeter(s) should be worn during the following procedures or conditions: (1) routine radiographic procedures, (2) fluoroscopic proce­dures, (3) special radiographic procedures, and (4) pregnancy.
• Identify the sensing material in the thermolumines­cent dosimeter ring badge.
• Describe the various components of the optically stimulated luminescence (OSL) dosimeter, and the
personnel direct ion storage dosimeter (DSI) and explain the use of each of these devices as personnel monitors.
• Explain the function of radiation survey instruments.
• List three gas-filled radiation survey instruments.
• Explain the requirements for radiation survey instruments.
• Recognize the operating regions of the following instruments: (1) ionization chamber–type survey meter (cutie pie), (2) proportional counter, and (3) Geiger–Müller (GM) survey meter.
• Identify the radiation survey instrument that can be used to calibrate radiographic and fluoroscopic x-ray equipment.
C H A P T E R O U T L I N E
Personnel Monitoring
Requirements for Personnel Monitoring Purpose of Personnel Dosimeters Placement of Personnel Dosimeters Extremity Dosimeter Record of Radiation Exposure
Personnel Dosimeters for Occupational Monitoring
Characteristics

K E Y T E R M S

control monitor extremity dosimeter Geiger–Müller (GM) survey
meter glow curve ionization chamber-type survey
meter (cutie pie)
72
optically stimulated lumines-
cence (OSL) dosimeter
personnel direct ion storage
dosimeter (DSI) personnel dosimeter personnel dosimetry personnel monitoring reports
Types
Radiation Survey Instruments for Area Monitoring
Radiation Detection and Measurement Types of Instruments Requirements Gas-Filled Radiation Survey Instruments
Instruments Used to Measure X-Ray Exposure Summary
proportional counter radiation survey instruments thermoluminescent ring
dosimeter
CHAPTER 5 Radiation Monitoring
73
To ensure that occupational radiation exposure levels are kept well below the annual effective dose (EfD) limit, some means of monitoring personnel exposure must be employed. The radiographer and other occu­pationally exposed persons should be aware of the various radiation exposure monitoring devices and their functions. This chapter provides an overview of both personnel and area monitoring. In addition, because radiation dosimetry reports still specify radia­tion exposure for workers in traditional units and subunits, traditional units’ numerical values are identi­fied in parentheses after International System (SI) units’ numerical values. However, facilities may request that dosimetry reports employ SI units.

PERSONNEL MONITORING

Requirement for Personnel Monitoring

Personnel dosimetry refers to the monitoring
of equivalent dose to any person occupationally exposed on a regular basis to ionizing radiation, which is recommended. It is required, however, when­ever radiation workers are likely to risk receiving 10% or more of the annual occupational EfD limit of 50 millisievert (mSv) (5 rem*) in any single year as a consequence of their work-related activities. In keeping with the as low as reasonably achievable (ALARA) concept, most health care facilities issue dosimetry devices when personnel could receive ap­proximately 1% of the annual occupational EfD limit in any month, or approximately 0.5 mSv (50 mrem). Radiation exposure monitoring is accomplished by wearing personnel dosimeters.
• Does not protect the wearer from exposure because the instrument is only capable of detecting and mea­suring the amount of ionizing radiation to which it has been exposed

Placement of Personnel Dosimeters

During Routine Radiographic Procedures. A person-
nel monitoring device records only the exposure received in the area where the device is worn. During routine radiographic procedures, when a protective apron is not being used, the primary personnel dosimeter should be attached to the clothing on the front of the body at collar level to approximate the location of maximal radiation dose to the following (Fig. 5.1):
• Thyroid
• Head
• Neck

Purpose of Personnel Dosimeters

The personnel dosimeter:
• Provides an indication of the radiation exposure working habits and working conditions of diagnostic imaging personnel
• Determines occupational exposure by detecting and measuring the quantity of ionizing radiation to which the dosimeter has been exposed over a period of time
*Rem (radiation equivalent man) is the traditional unit for the quantity, equivalent dose (EqD).
Fig. 5.1 To approximate the maximum radiation dose to the
thyroid and the head and neck during routine radiographic procedures, the primary personnel monitor should be attached to the clothing on the front of the body at collar level.
74
CHAPTER 5 Radiation Monitoring
BOX 5.1 Most Current Personnel
Monitoring Devices
1. Optically stimulated luminescence (OSL) dosimeter
2. Direct ion storage dosimeter (DIS)
3. Extremity dosimeter (thermoluminescent ring dosim-
eter [TLD])
Consistency of location in wearing the dosimeter is necessary and is the responsibility of the individual wearing the device. A list of the types of personnel monitors available to diagnostic imaging personnel is found in Box 5.1. A discussion of each of the person­nel monitoring devices will be provided later in this chapter.
When a Protective Apron Is Worn. Fluoroscopy,
surgery, and special radiographic procedures produce the highest occupational radiation exposure for diag­nostic imaging personnel. When a protective lead apron is worn during such procedures, the dosimeter should be placed outside the apron at collar level on the ante­rior surface of the body since the unprotected head, neck, and lenses of the eye receive 10 to 20 times more exposure than the protected body trunk. Located at collar level, the dosimeter provides a reading of the approximate equivalent dose to the exposed thyroid gland and eyes of the occupationally exposed person. If the lead apron’s shielding integrity is not compro­mised, a dosimeter reading that is within acceptable limits outside of the apron ensures a minimal reading under the apron.
As a Second Monitor When a Protective Apron Is Worn. During lengthy interventional fluoroscopy pro-
cedures (e.g., cardiac artery patency investigations), some health care facilities may prefer to have diagnos­tic imaging personnel wear two separate monitoring devices. As mentioned previously, the first, or pri­mary, dosimeter is to be worn outside the protective apparel at collar level, whereas the second dosimeter should be placed beneath a wraparound-style lead apron at waist level to monitor the approximate equivalent dose to the lower body trunk. Commer­cially available lead aprons typically have either 0.5­mm or 0.25-mm lead equivalent shielding. Another version is also available with 0.35-mm lead equivalent
in the front and 0.25-mm shielding in the back. For those occupationally exposed personnel who utilize two radiation dosimeters, it is useful to have some knowledge of the difference in equivalent dose readings between the two dosimeters.
As a Monitor for the Embryo-Fetus. In addition to
a primary dosimeter worn at collar level, pregnant diag­nostic imaging personnel are typically issued a second monitoring device (also worn beneath the protective apron, at waist level) to record the approximate radia­tion dose to the abdomen during gestation. This moni­tor, therefore, can provide an estimate of the equivalent dose to the embryo-fetus.

Extremity Dosimeter

An extremity dosimeter, typically a thermolumines-
cent ring dosimeter (TLD) (Fig. 5.2), should be worn
by an imaging professional as a second monitor when performing fluoroscopic procedures that require the hands to be near the primary x-ray beam. Ring dosim­eters are most commonly utilized by nuclear medicine technologists, due to the need for occupational han­dling of unsealed radioactive sources. Even though ring dosimeters are worn under gloves to avoid contamina­tion, such extremity monitors have a laser-etched cover to ensure the retention of permanent identification of the wearer. The TLD element of the dosimeter is encapsulated within its engraved cover.
The TLD ring is a light-free device that contains a crystalline form (powder or, more frequently, small chips) of lithium fluoride (LiF), which functions as the sensing material of the dosimeter. When irradi­ated, some of the electrons in the crystalline lattice
Fig. 5.2 An extremity dosimeter (thermoluminescent ring do-
simeter [TLD]) can be used to monitor the equivalent dose to the hands. (From Landauer, Inc., Glenwood, IL.)
CHAPTER 5 Radiation Monitoring
TABLE 5.1 Occupational Exposure Values for a Typical Year
NUMBER OF WORKERS
(THOUSANDS)
Category
Medicine 584 277 0.7 1.5 Industry 350 156 1.2 2.4 380 Nuclear power 151 91 3.6 5.6 550 Flight crews, flight attendants 97 97 1.7 1.7 165
Other
*See NCRP Report No. 101, p 60.
Includes workers in the US government (Department of Energy, US Public Health Service), uranium mining, well logging, miscel­laneous workers, visitors to facilities, and so forth. Data from National Council on Radiation Protection and Measurements (NCRP): Exposure of the U.S. population from occupational radiation, Report No. 101, Bethesda, MD, 1989, NCRP, pp 65–70.
AVERAGE ANNUAL
EFFECTIVE DOSE (mSv)
Total 2300
Collective Effective
Dose (Person-Sv)*All Exposed All Exposed
416
789
75
structure* of the LiF molecules absorb energy and are “excited” to higher energy levels or bands. The pres­ence of impurities in the crystal causes electrons to become trapped within the bands. When the LiF crys­tals are passed through a special heating process for dosimeter reading purposes, the trapped electrons receive enough energy to rise above their present loca­tions into a region called the conduction band. From there, the electrons can return to their normal state, with the emission of energy in the form of visible light. The energy emitted is equal to the difference between the electron-binding energies of the two orbital levels.
Radiation dose determination is accomplished through the use of an electronic instrument known as a TLD analyzer. After the LiF crystals are heated to free the trapped, highly energized electrons, this in­strument records the amount of light emitted by the crystals as the electrons return to their ground state. This amount is proportional to the dosimeter expo­sure. A graphic plot is constructed to demonstrate the relationship of light output, or emitted thermolumi­nesence intensity, to temperature variation of the LiF crystals. The plot, known as a glow curve, represents a unique signature of the exposure received by the TLD ring dosimeter.
Advantages of the TLD Ring Dosimeter. For the
purpose of monitoring radiation to the hands the TLD ring dosimeter is relatively accurate and reliable. The TLD ring dosimeter is small, light-weight and the LiF crystals interact with ionizing radiation in the same manner as does human tissue.* Exposures as low as
1.3 3 1026 C/kg (5 mR)** can be measured precisely. Because the dosimeter is not affected by humidity, pres­sure, and normal temperature changes, it can be worn up to 3 months, and is reusable after a reading has been obtained. Therefore, on-going use is reasonably cost-effective.
Disadvantages of the TLD Ring Dosimeter. Thermo-
luminescence readings will be lost if not carefully recorded. The readout process destroys information stored in the TLD, thus preventing the “read” TLD from serving as a permanent legal record of exposure. Cali­brated dosimeters must be prepared before-hand and read with each group of TLDs as they are processed.

Record of Radiation Exposure

A record of radiation exposure should be included in the employment record of all radiation workers. Table
5.1 provides occupational exposures (gathered from
personnel dosimeter readings) for a typical year. The
*A geometric arrangement of the points in space at which the atoms, molecules, or ions of a crystal occur. Also called space
lattice.
*The effective atomic number of LiF is 8.2, which is similar to that of human soft tissue (Z 5 7.4). **1 R 5 2.58 3 (10)
24
C/kg by definition
76
CHAPTER 5 Radiation Monitoring
listed values represent the corresponding average an­nual EfD to the whole body and the related collective effective dose.

PERSONNEL DOSIMETERS FOR OCCUPATIONAL MONITORING

Characteristics

A personnel dosimeter should be lightweight, easy to carry and constructed of materials durable enough to tolerate normal daily use. The dosimeter must be able to detect and record both small and large exposures in a consistent and reliable manner. Outside influences such as very warm weather, humidity, and ordinary mechanical shock should not affect the performance of the instrument. The monitors should be reasonably inexpensive to purchase and maintain.

Types

Two types of personnel dosimeters are predominantly used to measure individual exposure of the whole body to ionizing radiation:
• Optically stimulated luminescence (OSL) dosimeters
• Direct ion storage dosimeter (DIS)
Optically Stimulated Luminescence Dosimeter. The
optically stimulated luminescence (OSL) dosimeter for
personnel monitoring offers excellent features (Fig. 5.3) while eliminating many of the disadvantages of its prede­cessors. The OSL is the most common type of device used for monitoring of occupational exposure in diagnostic imaging and radiation therapy. The OSL dosimeter has replaced earlier devices for personnel monitoring in es­sentially all health care facilities.
The OSL dosimeter shown in Fig. 5.3 contains an aluminum oxide (Al2O3) thin layer detector. An exposed dosimeter is “read out” by using laser light at selected frequencies. When such laser light is incident on the sensing material, the material becomes luminescent in proportion to the amount of radiation exposure received by the detector.
Although the OSL dosimeter can be worn continu­ously for up to one year, it is common practice for it to be worn without a reading, for a period of one to three months. OSL dosimeters are typically shipped to a monitoring company for analysis and dose determina­tion, a task that requires some time for the report of a reading to be communicated. An in-house reader may be purchased from a vendor. With the in-house reader,
Fig. 5.3 Optically stimulated luminescence (OSL) dosimeter.
Disassembled OSL dosimeter demonstrating components of the monitor: sensing material holder, preloaded packet incorporating an Al2O3 strip sandwiched within a three-element filter pack, which is heat sealed within a light-tight black paper wrapper that has been laminated to the white paper label. The front of the white paper packet may also be color-coded to facilitate correct usage and placement of the dosimeter on the body of occupation­ally exposed personnel. (All components are sealed inside a tam­perproof plastic blister pack.) (From Landauer, Inc., Glenwood, IL.)
occupational exposure doses can be determined on the day of occurrence.
Energy discrimination. As seen in Fig. 5.3, three dif-
ferent filters are incorporated into the detector packet of the OSL dosimeter. The filters are, respectively, made of:
• Aluminum (Al)
• Tin (Sn)
• Copper (Cu) Each filter blocks a portion of the radiation-sensitive
aluminum oxide and causes a different degree of atten­uation for any radiation striking the dosimeter, depend­ing on its energy. The aluminum filter offers the least absorption, whereas the copper filter attenuates the most. When the exposed aluminum oxide layer of the OSL dosimeter is read out by a laser, the degree of lumi­nescence detected in the areas from beneath the filters is