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ICRP PUBLICATION 127 - Radiological Protection in Ion Beam Radiotherapy (Paperback)
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ICRP PUBLICATION 127 - Radiological Protection in Ion Beam Radiotherapy (Paperback)
Series: Annals of the ICRP
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The goal of external beam radiotherapy is to provide precise dose
localisation in the treatment volume of the target with minimal
damage to the surrounding normal tissues. Ion beams, such as
protons and carbon ions, provide excellent dose distributions due
primarily to their finite range, allowing a significant reduction
of undesired exposure to normal tissues. Careful treatment planning
is required for the given type and localisation of the tumour to be
treated in order to maximise the treatment efficiency and minimise
the dose to the normal tissues. Radiation exposure in the
out-of-field volumes arises from secondary neutrons and photons,
particle fragments, and photons from activated materials. These
unavoidable doses should be considered from the standpoint of
radiological protection of the patient. Radiological protection of
medical staff at ion beam therapy facilities requires special
attention. Appropriate management and control are required for the
therapy equipment and also for the air in the treatment room which
can be activated by the particle beam and its secondaries.
Radiological protection and safety management should always be in
conformity with regulatory requirements. The current regulations
for occupational exposures in photon radiotherapy are applicable to
ion beam radiotherapy with protons or carbon ions. Ion beam
radiotherapy requires, however, a more complex treatment system
than conventional radiotherapy, and appropriate training of the
staff and suitable quality assurance programme are recommended to
avoid possible accidental exposure to the patient, to minimise
unnecessary doses to normal tissues and to minimise radiation
exposure of staff.
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