Brachytherapy mrp 003

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Information about Brachytherapy mrp 003
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Published on March 9, 2014

Author: mtv243

Source: slideshare.net

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By Ossama Anjak

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﻟﻤﻌﺎﻟﺠﺔ اﻹﺷﻌﺎﻋﻴﺔ ﺑﺎﻟﺘﻤﺎس‬ ‫)ﺿﺒﻂ اﻟﺠﻮدة وإﺟﺮاءات اﻟﻮﻗﺎﻳﺔ(‬ ‫‪Brachytherapy‬‬ ‫)‪(QC & Radiation protection‬‬ ‫هﻴﺌﺔ اﻟﻄﺎﻗﺔ اﻟﺬرﻳﺔ اﻟﺴﻮرﻳﺔ‬ ‫دﻣﺸﻖ ص.ب 1906‬ ‫א‬ ‫א‬ ‫א‬ ‫−‬ ‫א‬ ‫א‬ ‫א‬ ‫מ–‬ ‫מא‬ ‫א‬ ‫א‬ ‫3102 - 2102‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫1‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﻟﻬﺪف ﻣﻦ اﻟﻤﺤﺎﺿﺮة‬ ‫اﻟﺘﻌﺮف ﻋﻠﻰ: إﺟﺮاءات ﺿﺒﻂ اﻟﺠﻮدة وﻣﻌﺎﻳﺮة اﻟﻤﺼﺎدر‬ ‫اﻟﻤﺸﻌﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﻤﻌﺎﻟﺠﺔ اﻹﺷﻌﺎﻋﻴﺔ ﺑﺎﻟﺘﻤﺎس وﻋﻠﻰ‬ ‫ﻃﺮق اﻟﻮﻗﺎﻳﺔ اﻹﺷﻌﺎﻋﻴﺔ‬ ‫3‬ ‫א‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫:‬ ‫• ﺇﺠﺭﺍﺀﺍﺕ ﺍﻟﻤﻌﺎﻴﺭﺓ ﻭﻀﺒﻁ ﺍﻟﺠﻭﺩﺓ.‬ ‫• ﺇﺠﺭﺍﺀﺍﺕ ﻭﺍﺨﺘﺒﺎﺭﺍﺕ ﻀﺒﻁ ﺍﻟﺠﻭﺩﺓ ﻟﺘﺠﻬﻴﺯﺍﺕ ﺍﻟﻤﻌﺎﻟﺠﺔ ﺒﺎﻟﺘﻤﺎﺱ.‬ ‫• ﺇﺠﺭﺍﺀﺍﺕ ﺍﻟﻭﻗﺎﻴﺔ ﺍﻹﺸﻌﺎﻋﻴﺔ.‬ ‫4‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫2‬

7 April 2013 Osamah Anjak ‫א‬ Isotope HalfLife Cs-137 30 Y Co-60 5.26 Y Au-198 Photon energy (MeV) HVL (mm Pb) ‫א‬ Air Kerma rate per GBq at 1m (mGy.h-1) ‫א‬ Sources available Needles and tubes 5.5 0.078 11.0 0.307 2.7 d 0.662 1.171.33 0.41 2.5 0.055 Ir-192 74 d 0.3-0.6 2.5 0.113 I-131 60 d 0.0270.036 3.11 0.034 Seeds for PI Ra-226 I-125 1640Y 60.2d 0.2-2.4 28 keV 8.0 0.025 0.195 Needles and tubes 6 April 2013 Needles and tubes Pellets for HDR Grains for PI Wire and pins Pellets for HDR Seed Osamah Anjak 5 ‫ﺿﻤﺎﻥ ﺍﳉﻮﺩﺓ ﰲ ﺍﳌﻌﺎﳉﺔ ﺑﺎﻟﺘﻤﺎﺱ‬ Quality Assurance of Brachytherapy System 3 AECS PO Box 6091, Damascus -SYRIA

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﺧﺘﺒﺎر ﻣﺼﺎدر اﻟﻤﻌﺎﻟﺠﺔ ﺑﺎﻟﺘﻤﺎس:‬ ‫ﻋﻨﺪ اﺳﺘﻼم اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ ﻳﺠﺐ اﻟﻘﻴﺎم ﺑﺎﻹﺟﺮاءات‬ ‫اﻟﺘﺎﻟﻴﺔ وﺗﻮﺛﻴﻘﻬﺎ:‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﺸﻜﻞ اﻟﻔﻴﺰﻳﺎﺋﻲ واﻟﻜﻴﻤﻴﺎﺋﻲ.‬ ‫آﺒﺴﻮﻟﺔ اﻟﻤﺼﺪر، اﺧﺘﺒﺎر اﻟﻤﺴﺢ .‬ ‫ﺗﻮزع اﻟﻤﺎدة اﻟﻤﺸﻌﺔ واﻟﺘﺠﺎﻧﺲ:‬ ‫ﺗﺼﻮﻳﺮ اﻟﻤﺼﺪر .‪Autoradiograph‬‬ ‫ﺗﺠﺎﻧﺲ اﻟﻨﺸﺎط اﻹﺷﻌﺎﻋﻲ ﻓﻴﻤﺎ ﺑﻴﻦ اﻟﺒﺬور.‬ ‫إﺟﺮاء ﻓﺤﺺ ﻋﻴﺎﻧﻲ ﻟﻠﺒﺬور ﺿﻤﻦ اﻷﺷﺮﻃﺔ ‪ribbons‬‬ ‫‪Osamah Anjak‬‬ ‫7‬ ‫3102 ‪6 April‬‬ ‫اﺧﺘﺒﺎر ﻣﺼﺎدر اﻟﻤﻌﺎﻟﺠﺔ ﺑﺎﻟﺘﻤﺎس:‬ ‫ﻳﺠﺐ اﺧﺘﺒﺎر وﻣﻌﺎﻳﺮة آﺎﻓﺔ اﻟﻤﺼﺎدر ﻋﻨﺪ اﻻﺳﺘﻼم.‬ ‫ﻣﻦ أﺟﻞ ﻋﺪد آﺒﻴﺮ ﻣﻦ اﻟﻤﺼﺎدر ذات ﻋﻤﺮ ﻧﺼﻒ ﻗﺼﻴﺮ ﻳﻜﻔﻲ اﺧﺘﺒﺎر‬ ‫وﻣﻌﺎﻳﺮة ﻋﻴﻨﺔ ﺣﻮاﻟﻲ )%01~( ﻣﻦ اﻟﻤﺼﺎدر اﻟﻤﻮردة .‬ ‫ﻳﺠﺐ ﺗﻮﺛﻴﻖ )ﺗﺴﺠﻞ( ﻧﺘﺎﺋﺞ اﻟﻤﻌﺎﻳﺮة‬ ‫ﻣﻘﺪار اﻟﺨﻄﺄ اﻟﻤﺴﻤﻮح ﺑﻪ اﻟﻤﻘﺘﺮح:‬ ‫•‬ ‫•‬ ‫•‬ ‫•‬ ‫ﻣﺘﻮﺳﻂ اﻟﻜﻤﻴﺔ )%3(.‬ ‫اﻹﻧﺤﺮاف ﻋﻦ اﻟﻤﺘﻮﺳﻂ )5%(.‬ ‫ﻣﻦ أﺟﻞ ﻣﻌﺮﻓﺔ ﻣﻘﺪار اﻟﺴﻤﺎﺣﻴﺔ راﺟﻊ اﻟﻮﺛﺎﺋﻖ اﻟﻮاردة ﻣﻦ اﻟﺸﺮآﺔ‬ ‫اﻟﺼﺎﻧﻌﺔ.‬ ‫8‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫4‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫ﻣﻌﺎﻳﺮة اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ‬ ‫‪calibration radiation sources‬‬ ‫ﻳﺘﻢ إﺟﺮاء اﻟﻤﻌﺎﻳﺮة ﻋﻨﺪ اﺳﺘﻼم اﻟﻤﻨﺎﺑﻊ واﻟﻮﺛﺎﺋﻖ اﻟﻌﺎﺋﺪة ﻟﻬﺎ.‬ ‫ﺗﺘﻢ اﻟﻤﻌﺎﻳﺮة ﻟﻜﻞ ﻣﻨﺒﻊ ﻣﻦ اﻟﻤﻨﺎﺑﻊ اﻟﻤﺴﺘﻠﻤﺔ.‬ ‫اﻟﻤﻨﺎﺑﻊ ذات ﻧﺼﻒ اﻟﻌﻤﺮ اﻟﻄﻮﻳﻞ )731 ‪: (eg. Cs‬‬ ‫آﺎﻓﺔ اﻟﻤﻨﺎﺑﻊ.‬ ‫ﻣﻨﺎﺑﻊ ذات ﻧﺼﻒ ﻋﻤﺮ ﻗﺼﻴﺮ )521-‪.( ...... Ir-192, I‬‬ ‫إذا آﺎن ﻋﺪد اﻟﻤﻨﺎﺑﻊ ﻗﻠﻴﻞ ﺗﺘﻢ اﻟﻤﻌﺎﻳﺮة ﻟﻜﺎﻓﺔ اﻟﻤﻨﺎﺑﻊ.‬ ‫إذا آﺎن ﻋﺪد اﻟﻤﻨﺎﺑﻊ آﺒﻴﺮ )ﺑﺬور 521-‪ I‬ﻟﻤﻌﺎﻟﺠﺔ اﻟﺒﺮوﺳﺘﺎت( ﺗﺠﺮى‬ ‫اﻟﻤﻌﺎﻳﺮة ﻟﻌﻴﻨﺔ ﻣﻦ اﻟﻤﻨﺎﺑﻊ ) 01% ﻋﻠﻰ اﻷﻗﻞ(..‬ ‫‪Osamah Anjak‬‬ ‫9‬ ‫ﻣﻌﺎﻳﺮة اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ‬ ‫3102 ‪6 April‬‬ ‫‪calibration radiation sources‬‬ ‫‪ 19.II‬ﻳﺘﺤﻘﻖ اﻟﻤﺴﺠﻠﻮن واﻟﻤﺮﺧﺺ ﻟﻬﻢ ﻣﻤﺎ ﻳﻠﻲ:‬ ‫أ( إﻣﻜﺎﻧﻴﺔ اﺳﻨﺎد ﻣﻌﺎﻳﺮة اﻟﻤﺼﺎدر اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﺘﻌﺮﺿﺎت اﻟﻄﺒﻴﺔ إﻟﻰ ﻣﺨﺒﺮ ﻋﻴﺎري‬ ‫ﻟﻘﻴﺎس اﻟﺠﺮﻋﺎت.‬ ‫ب( ......‬ ‫ج( ﻣﻌﺎﻳﺮة اﻟﻤﺼﺎدر اﻟﻤﺨﺘﻮﻣﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﻌﻼج اﻹﺷﻌﺎﻋﻴﺔ ﻋﻦ ﻗﺮب ﻓﻴﻤﺎ‬ ‫ﻳﺘﻌﻠﻖ ﺑﺎﻟﻨﺸﺎط اﻹﺷﻌﺎﻋﻲ واﻟﻤﻌﺪل اﻟﻤﺮﺟﻌﻲ ﻟﻠﻜﻴﺮﻣﺎ ﻓﻲ اﻟﻬﻮاء وﻣﻌﺪل اﻟﺠﺮﻋﺔ‬ ‫اﻟﻤﻤﺘﺼﺔ ﻓﻲ وﺳﻂ ﻣﻌﻴﻦ، وﻋﻠﻰ ﻣﺴﺎﻓﺔ ﻣﻌﻴﻨﺔ، واﻟﺘﺎرﻳﺦ اﻟﻤﺮﺟﻌﻲ.‬ ‫د( ﻣﻌﺎﻳﺮة اﻟﻤﺼﺎدر ﻏﻴﺮ اﻟﻤﺨﺘﻮﻣﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ إﺟﺮاءات اﻟﻄﺐ اﻟﻨﻮوي ........‬ ‫هـ( إﺟﺮاءات اﻟﻤﻌﺎﻳﺮة ﻋﻨﺪ :‬ ‫ إﻋﺪاد اﻟﻮﺣﺪة ﻟﻠﺘﺸﻐﻴﻞ ‪.Commissioning‬‬‫ وﻋﻘﺐ إﺟﺮاء اﻟﺼﻴﺎﻧﺔ اﻟﺘﻲ ﻗﺪ ﺗﺆﺛﺮ ﻋﻠﻰ اﻟﻤﻌﺎﻳﺮة .‬‫ وﻋﻠﻰ اﻟﻔﺘﺮات اﻟﺘﻲ ﺗﻘﺮهﺎ اﻟﺴﻠﻄﺔ اﻟﺮﻗﺎﺑﻴﺔ.‬‫01‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫5‬

7 April 2013 Osamah Anjak ‫ﺳﻠﺴﻠﺔ اﻟﻤﻌﺎﻳﺮة‬ Calibration chain (ICRU 58) ‫ﺍﻟﻤﺴﺘﻭﻯ ﺍﻷﻭﻟﻲ‬ PRIMARY LEVL ‫ﺍﻟﻤﺴﺘﻭﻯ ﺍﻟﺜﺎﻨﻭﻱ‬ SECONDARY LEVL USERS 6 April 2013 Ref. Ionization Ref. Ionization Chamber Chamber SECONDARY SECONDARY STANDERD STANDERD SOURCE SOURCE 6 April 2013 6 WELL-TYPE WELL-TYPE Ionization Ionization Chamber Chamber WELL-TYPE WELL-TYPE WELLIonization Ionization Chamber Chamber Osamah Anjak calibration radiation sources PRIMARY PRIMARY STANDERD STANDERD SOURCE SOURCE USER’s USER’s SOURCE USER’ SOURCE KR KR 11 ‫ﻣﻌﺎﻳﺮة اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ‬ Osamah Anjak 12 AECS PO Box 6091, Damascus -SYRIA

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫ﺿﺒﻂ اﻟﺠﻮدة ﻟﻮﺣﺪات اﻟﺘﺤﻤﻴﻞ اﻵﻟﻲ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﻤﻌﺎﻟﺠﺔ‬ ‫اﻟﺘﻤﺎس‬ ‫ﻗﺒﻞ اﻟﺒﺪء ﺑﺎﻟﻤﻌﺎﻟﺠﺔ ﻳﺠﺐ اﻟﺘﺄآﺪ ﻣﻤﺎ ﻳﻠﻲ:‬ ‫ﻧﻈﻢ اﻵﻣﺎن ﻓﻲ اﻟﻐﺮﻓﺔ واﻷﻗﻔﺎل اﻟﻤﺘﺮاﺑﻄﺔ ﻣﻊ ﺁﻟﻴﺔ اﻟﺘﺸﻌﻴﻊ ‪door‬‬ ‫‪interlocks‬‬ ‫اﻹﺿﺎءة وﺁﻟﻴﺔ اﻹﻧﺬار‪Lights and alarms‬‬ ‫ﻧﻈﻢ اﻵﻣﺎن‬ ‫ﺟﻬﺎز ﻣﺮاﻗﺒﺔ اﻹﺷﻌﺎع ‪Radiation monitor‬‬ ‫ﻧﻈﻢ اﻟﺴﻼﻣﺔ )ﺣﺮآﺔ اﻟﻤﺼﺪر(‬ ‫اﻷﻣﺎن اﻹﺷﻌﺎﻋﻲ ‪radiation safety‬‬ ‫ﻋﻤﻞ وﺣﺪة اﻟﺘﺤﻜﻢ ‪Console functions‬‬ ‫ﻓﺤﺺ ﻋﻴﺎﻧﻲ ﻟﺪﻟﻴﻞ اﻟﻤﻨﺒﻊ ‪.source guides‬‬ ‫31‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻮﺿﻊ اﻟﻤﺼﺪر اﻟﻤﺸﻊ‬ ‫‪Verification of source position‬‬ ‫ﻳﻤﻜﻦ اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻮﺿﻊ اﻟﻤﻨﺒﻊ ﺑﺎﺳﺘﺨﺪام أﻓﻼم اﻟﺘﺼﻮﻳﺮ‬ ‫41‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫7‬

7 April 2013 Osamah Anjak ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻮﺿﻊ اﻟﻤﺼﺪر اﻟﻤﺸﻊ‬ Verification of source position ‫ﻹﺟﺮاء هﺬا اﻻﺧﺘﺒﺎر ﻳﺴﺘﺨﺪم أﻓﻼم ﻣﻦ‬ ‫ ﻣﻦ أﺟﻞ‬Auto-radiograph ‫ﻧﻮع‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻮﺿﻊ اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ‬ .HDR ‫اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﻤﻌﺎﻟﺠﺔ ﻧﻤﻂ‬ 6 April 2013 Osamah Anjak 15 LDR ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻜﺎن اﻟﻤﻨﺎﺑﻊ‬ LDR source position check . LDR unit 6 April 2013 8 QA kit for LDR auto-radiograph Osamah Anjak Auto-radiograph 16 AECS PO Box 6091, Damascus -SYRIA

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫ﺿﺒﻂ اﻟﺠﻮدة ﻟﻮﺣﺪات اﻟﺘﺤﻤﻴﻞ اﻵﻟﻲ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﻤﻌﺎﻟﺠﺔ‬ ‫اﻟﺘﻤﺎس‬ ‫أﺳﺒﻮﻋﻴﺎ:‬ ‫ً‬ ‫اﻟﺪﻗﺔ ﻓﻲ ﺗﺤﻤﻴﻞ اﻟﻤﻨﺎﺑﻊ اﻟﻤﺸﻌﺔ ‪ source‬واﻟﻤﻨﺎﺑﻊ اﻟﻮهﻤﻴﺔ ‪dummy‬‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻮﺿﻊ اﻟﻤﻨﺎﺑﻊ ‪Source positioning‬‬ ‫ﻋﻨﺪ ﺗﺒﺪﻳﻞ أو آﻞ 3 أﺷﻬﺮ:‬ ‫إﺟﺮاء ﻣﻌﺎﻳﺮة ‪Calibration‬‬ ‫أداء اﻟﻤﺆﻗﺖ اﻟﺰﻣﻨﻲ ‪.Timer function‬‬ ‫اﻟﺪﻗﺔ ﻓﻲ أﻧﺎﺑﻴﻦ ﻧﻘﻞ اﻟﻤﻨﺒﻊ ‪ source guides‬واﻟﻮﺻﻼت.‬ ‫‪Osamah Anjak‬‬ ‫71‬ ‫3102 ‪6 April‬‬ ‫ﺿﺒﻂ اﻟﺠﻮدة ﻟﻮﺣﺪات اﻟﺘﺤﻤﻴﻞ اﻵﻟﻲ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﻤﻌﺎﻟﺠﺔ‬ ‫اﻟﺘﻤﺎس‬ ‫ﺳﻨﻮﻳﺎ:‬ ‫ً‬ ‫ﺧﻮارزﻣﻴﺔ ﺣﺴﺎب اﻟﺠﺮﻋﺔ‬ ‫‪Dose calculation algorithm‬‬ ‫إﺟﺮاء ﻣﺤﺎآﺎة ﻟﺤﺎﻟﺔ اﻟﻄﻮارئ‬ ‫‪Simulate emergency‬‬ ‫‪conditions‬‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﺗﺨﺰﻳﻦ اﻟﻤﻨﺎﺑﻊ‬ ‫81‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Verify source inventory‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫9‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫ﺿﺒﻂ اﻟﺠﻮدة ﻟﻮﺣﺪات اﻟﺘﺤﻤﻴﻞ اﻵﻟﻲ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﻤﻌﺎﻟﺠﺔ‬ ‫اﻟﺘﻤﺎس‬ ‫ﺳﻨﻮﻳﺎ:‬ ‫ً‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﺳﻼﻣﺔ اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ.‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻮﺿﻊ اﻟﻤﺼﺎدر ) ﻣﻮﺿﻊ اﻟﺴﻜﻦ ‪.(dwell position‬‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ زﻣﻦ اﻟﻤﻌﺎﻟﺠﺔ )زﻣﻦ اﻟﺒﻘﺎء(.‬ ‫‪Osamah Anjak‬‬ ‫91‬ ‫3102 ‪6 April‬‬ ‫ﺍﳌﻌﺎﳉﺔ ﺍﻹﺷﻌﺎﻋﻴﺔ ﺑﺎﻟﺘﻤﺎﺱ‬ ‫ﺇﺟﺮﺍءﺍﺕ ﺍﻟﻮﻗﺎﻳﺔ ﻭﺍﻷﻣﺎﻥ‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫01‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫ﺗﺨﺰﻳﻦ اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ‬ ‫ﻳﺠﺐ أن ﺗﺨﺰن اﻟﻤﻨﺎﺑﻊ ﻓﻲ ﺣﺎوﻳﺎت ﺧﺎﺻﺔ ذات‬ ‫ﺗﺪرﻳﻊ آﺎف ﻣﻦ أﺟﻞ اﻟﻮﻗﺎﻳﺔ اﻹﺷﻌﺎﻋﻴﺔ‬ ‫أن ﺗﻜﻮن أﻣﺎآﻦ اﻟﺘﺨﺰﻳﻦ ﻣﻌﺪة ﻣﺴﺒﻘﺎ ﻟﻬﺬﻩ اﻟﻐﺎﻳﺔ‬ ‫ً‬ ‫اﻋﺘﻤﺎدا ﻋﻠﻰ ﻧﻮﻋﻴﺔ وآﻤﻴﺔ اﻟﻤﻮاد اﻟﻤﺸﻌﺔ اﻟﺘﻲ‬ ‫ً‬ ‫ﺳﺘﺨﺰن ﺿﻤﻨﻪ.‬ ‫ﻳﺠﺐ أن ﻳﻜﻮن اﻟﻤﺨﺰن ﻣﻘﺴﻤﺎ إﻟﻰ أﺟﺰاء ﻟﻠﺪﺧﻮل‬ ‫ً‬ ‫إﻟﻴﻪ ﺑﺴﻬﻮﻟﺔ وﻳﺴﻤﺢ أﻳﻀﺎ ﺑﺴﻬﻮﻟﺔ ﻣﺮاﻗﺒﺔ اﻟﻤﻨﺎﺑﻊ‬ ‫اﻟﻤﺸﻌﺔ آﻞ ﻋﻠﻰ ﺣﺪة‬ ‫‪Osamah Anjak‬‬ ‫12‬ ‫3102 ‪6 April‬‬ ‫ﻣﺘﻄﻠﺒﺎت اﻟﺴﻼﻣﺔ ﻟﻠﻤﻨﺎﺑﻊ اﻟﻤﺸﻌﺔ‬ ‫وﻓﻘﺎ ﻟﻤﻌﺎﻳﻴﺮ اﻟﻤﻨﻈﻤﺔ اﻟﺪوﻟﻴﺔ ﻟﻠﻤﻘﺎﻳﻴﺲ ‪ ISO‬ﻟﺘﺼﻨﻴﻒ اﻟﻤﻨﺎﺑﻊ‬ ‫ً‬ ‫وﻣﺘﻄﻠﺒﺎت اﻟﺴﻼﻣﺔ ﻓﺈن اﻟﻤﻨﺎﺑﻊ اﻟﻤﺸﻌﺔ اﻟﻤﺴﺘﻌﻤﻠﺔ ﻓﻲ اﻟﻤﻌﺎﻟﺠﺔ ﻋﻦ‬ ‫ﻗﺮب:‬ ‫ﻳﺠﺐ أن ﺗﺰود ﺑﻮﺛﻴﻘﺔ )ﺷﻬﺎدة( ﺗﻌﺮﻳﻒ ﻣﻦ اﻟﺸﺮآﺔ اﻟﺼﺎﻧﻌﺔ ﺗﺒﻴﻦ ﻓﻴﻬﺎ:‬ ‫أن ﺗﻠﻚ اﻟﻤﻨﺎﺑﻊ ﻣﺘﻄﺎﺑﻘﺔ ﻣﻊ اﻟﻤﻌﺎﻳﻴﺮ اﻟﻤﻌﺘﻤﺪة.‬ ‫ﺟﻤﻴﻊ اﻟﻤﻨﺎﺑﻊ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻟﻤﻌﺎﻟﺠﺔ ﻋﻦ ﻗﺮب هﻲ ﻣﻨﺎﺑﻊ ﻣﻐﻠﻘﺔ أي‬ ‫أن اﻟﻤﺎدة اﻟﻤﺸﻌﺔ ﻣﻐﻠﻔﺔ ﺑﻤﻌﺪن.‬ ‫اﻹرﻳﺪﻳﻮم 291‪ Ir‬ﻋﻨﺪﻣﺎ ﻳﻜﻮن ﻋﻠﻰ ﺷﻜﻞ أﺳﻼك أو ﻣﺜﻞ دﺑﺎﺑﻴﺲ اﻟﺸﻌﺮ‬ ‫‪ hair pins‬وﺗﺼﻨﻒ هﺬﻩ اﻟﻤﻨﺎﺑﻊ ﻋﻠﻰ أﻧﻬﺎ ﻣﻨﺎﺑﻊ ﻣﻐﻠﻘﺔ ﻋﻠﻤﺎ أن ﻟﺐ‬ ‫ً‬ ‫اﻟﻤﻨﺒﻊ اﻟﻤﺸﻊ ﺳﻴﻜﻮن ﻣ ّﺮض وﻣﻜﺸﻮف ﻋﻨﺪ ﻗﻄﻊ اﻟﺴﻠﻚ أو دﺑﻮس اﻟﺸﻌﺮ.‬ ‫ﻌ‬ ‫22‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫11‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫ﺷﻬﺎدة ﻣﻌﺎﻳﺮة اﻟﻤﺼﺪر اﻟﻤﺸﻊ:‬ ‫ﻳﺠﺐ أن ﺗﺰودﻧﺎ اﻟﺸﺮآﺔ اﻟﺼﺎﻧﻌﺔ ﺑﺸﻬﺎدة ﻣﻌﺎﻳﺮة ﺗﺘﻀﻤﻦ‬ ‫اﻟﻤﻌﻠﻮﻣﺎت اﻟﺘﺎﻟﻴﺔ:‬ ‫اﺳﻢ اﻟﻨﻜﻠﻴﺪ اﻟﻤﺸﻊ.‬ ‫ﺷﻜﻞ اﻟﻤﺼﺪر اﻟﻤﺸﻊ واﻟﻨﻤﻮذج.‬ ‫ﺷﺪة اﻟﻤﺼﺪر اﻟﻤﺸﻊ .‬ ‫ﺗﺎرﻳﺦ اﻟﻤﻌﺎﻳﺮة.‬ ‫ﺗﺎرﻳﺦ اﻟﺸﺮاء واﻟﺮﻗﻢ اﻟﻤﺘﺴﻠﺴﻞ ﻟﻠﻤﺼﺪر اﻟﻤﺸﻊ.‬ ‫اﻟﺸﺮآﺔ اﻟﺼﺎﻧﻌﺔ.‬ ‫اﺧﺘﺒﺎرات اﻟﻘﺒﻮل واﺧﺘﺒﺎرات اﻟﺘﺴﺮﻳﺐ اﻹﺷﻌﺎﻋﻲ.‬ ‫32‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫ﻣﺘﻄﻠﺒﺎت اﻟﺴﻼﻣﺔ ﻟﻠﻤﻨﺎﺑﻊ اﻟﻤﺸﻌﺔ‬ ‫ﻳﺠﺐ إﺟﺮاء اﺧﺘﺒﺎر اﻟﻤﺴﺢ ‪wipe test‬‬ ‫اﺧﺘﺒﺎر اﻟﺘﺴﺮﻳﺐ ‪ leakage test‬وﻓﻘﺎ ﻟﻠﻘﻮاﻧﻴﻦ اﻟﻤﺤﻠﻴﺔ ﻟﻜﻞ دوﻟﺔ.‬ ‫ً‬ ‫ﻳﺠﺐ اﺟﺮاء اﺧﺘﺒﺎر اﻟﻤﺴﺢ دورﻳﺎ‬ ‫ً‬ ‫42‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫21‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﻻﺣﺘﻔﺎظ ﺑﺎﻟﺴﺠﻼت‬ ‫ﺟﺮد اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ اﻟﻤﺘﻮﻓﺮة ﻓﻲ اﻟﻘﺴﻢ.‬ ‫ﻳﺪون ﻓﻲ ﺗﻠﻚ اﻟﺴﺠﻼت ﺣﺮآﺔ اﻟﻤﺼﺎدر وﻋﻤﻠﻴﺔ ﻧﻘﻠﻬﺎ ﻣﻦ‬ ‫وإﻟﻰ اﻟﻤﺴﺘﻮدع.‬ ‫آﻨﻘﻞ اﻟﻤﺼﺪر اﻟﻤﺸﻊ ﻟﻼﺳﺘﻌﻤﺎل ﻓﻲ ﻏﺮﻓﺔ اﻟﻌﻤﻠﻴﺎت وﻣﻦ‬ ‫ﻏﺮﻓﺔ اﻟﻌﻤﻠﻴﺎت إﻟﻰ اﻷﺟﻨﺤﺔ )ﻣﻜﺎن إﻗﺎﻣﺔ اﻟﻤﺮﺿﻰ(‬ ‫52‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫اﻻﺣﺘﻔﺎظ ﺑﺎﻟﺴﺠﻼت‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﺤﺘﻮﻳﺎت اﻟﻤﺴﺘﻮدع أﺳﺒﻮﻋﻴﺎ وﻣﻘﺎرﻧﺘﻬﺎ ﻣﻊ اﻟﻤﻌﻠﻮﻣﺎت‬ ‫ً‬ ‫اﻟﻤﺪوﻧﺔ ﻓﻲ اﻟﺴﺠﻞ.‬ ‫ﻳﺠﺐ أن ﻳﻘﻮم ﺷﺨﺺ ﻣﺴﺘﻘﻞ ﻣﻦ ﺧﺎرج اﻟﻤﺸﻔﻰ ﺑﻜﺘﺎﺑﺔ ﺗﻘﺎرﻳﺮ ﺳﻨﻮﻳﺔ‬ ‫ﺗﻔﺼﻴﻠﻴﺔ ﻋﻦ اﻟﻤﻨﺎﺑﻊ اﻟﻤﺸﻌﺔ وﻣﻘﺎرﻧﺘﻬﺎ ﻣﻊ ﻗﺎﺋﻤﺔ اﻟﺠﺮد وﺷﻬﺎدة اﻟﻤﻨﺸﺄ‬ ‫62‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫31‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﺧﺘﺒﺎر اﻟﻤﻨﺎﺑﻊ ﻋﻨﺪ اﻻﺳﺘﻼم:‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻮاﺻﻔﺎت اﻟﻤﻨﺒﻊ اﻟﻤﺮﺳﻞ.‬ ‫اﻟﻤﻄﺎﺑﻘﺔ ﻣﻊ اﻟﺸﻬﺎدة اﻟﻤﺮﻓﻘﺔ ﺑﻪ.‬ ‫اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﻨﺸﺎط اﻹﺷﻌﺎﻋﻲ ﻟﻠﻤﻨﺒﻊ ﻋﻨﺪ اﻻﺳﺘﻼم.‬ ‫إﺟﺮاء ﻗﻴﺎس ﻟﺸﺪة اﻟﻤﻨﺒﻊ ﻗﺒﻞ اﻟﺒﺪء ﺑﺎﺳﺘﺨﺪاﻣﻪ.‬ ‫72‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫ﻧﻘﻞ اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ‬ ‫ﻳﺠﺐ ﻧﻘﻞ اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ إﻟﻰ اﻟﺤﺎوﻳﺔ ﺑﺴﺮﻋﺔ‬ ‫82‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫41‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﻟﻌﻨﺎﻳﺔ ﺑﺎﻟﻤﺮﻳﺾ‬ ‫ﻋﻨﺪ اﻟﺘﺤﺪث ﻣﻊ اﻟﻤﺮﻳﺾ ﻳﺠﺐ اﻟﻮﻗﻮف ﺧﻠﻒ ﺣﺎﺟﺰ ﺧﺎص ﻳﺆﻣﻦ‬ ‫اﻟﻮﻗﺎﻳﺔ ﻣﻦ اﻹﺷﻌﺎع‬ ‫92‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫اﻟﻌﻨﺎﻳﺔ ﺑﺎﻟﻤﺮﻳﺾ‬ ‫ﻳﺠﺐ وﺿﻊ إﺷﺎرة ﺗﺤﺬر ﻋﻠﻰ ﺑﺎب اﻟﻐﺮﻓﺔ ﻋﻘﺐ ﺗﺤﻤﻴﻞ اﻟﻤﻨﺎﺑﻊ داﺧﻞ‬ ‫ﺟﺴﻢ اﻟﻤﺮﻳﺾ.‬ ‫03‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫51‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﻟﻌﻨﺎﻳﺔ ﺑﺎﻟﻤﺮﻳﺾ‬ ‫ﻋﻨﺪ ﻧﺰع اﻟﻤﻨﺎﺑﻊ ﻣﻦ اﻟﻤﺮﻳﺾ ﻳﺠﺐ اﻟﺘﺄآﺪ:‬ ‫ﻣﻦ ﻋﺪد اﻟﻤﻨﺎﺑﻊ وﻳﺠﺐ أن ﻳﻜﻮن ﻣﻄﺎﺑﻘﺎ ﻟﻌﺪد اﻟﻤﻨﺎﺑﻊ‬ ‫ً‬ ‫اﻟﻤﺰروﻋﺔ.‬ ‫ﻳﺠﺐ إﻋﺎدﺗﻬﺎ ﻣﺒﺎﺷﺮة إﻟﻰ اﻟﺤﺎوﻳﺔ.‬ ‫ﻳﺠﺐ اﺳﺘﻌﻤﺎل أدوات اﻟﻮﻗﺎﻳﺔ.‬ ‫‪Osamah Anjak‬‬ ‫13‬ ‫3102 ‪6 April‬‬ ‫اﻟﻌﻨﺎﻳﺔ ﺑﺎﻟﻤﺮﻳﺾ‬ ‫ﻋﻨﺪ ﻧﺰع اﻟﻤﻨﺎﺑﻊ ﻣﻦ اﻟﻤﺮﻳﺾ ﻳﺠﺐ اﻟﺘﺄآﺪ ﻣﻦ ﻧﺰع آﺎﻓﺔ‬ ‫اﻟﻤﻨﺎﺑﻊ وإﻋﺎدﺗﻬﺎ ﻟﻠﺤﺎوﻳﺔ.‬ ‫ﻳﺠﺐ إﺟﺮاء ﻣﺴﺢ إﺷﻌﺎﻋﻲ ﻟﻠﻐﺮﻓﺔ واﻟﻤﺮﻳﻀﺔ ﺑﻌﺪ ﻧﻘﻞ اﻟﻤﻨﺎﺑﻊ‬ ‫ﻣﻦ اﻟﻐﺮﻓﺔ‬ ‫23‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫61‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﻟﻌﻨﺎﻳﺔ ﺑﺎﻟﻤﺮﻳﺾ‬ ‫ﻳﺠﺐ ارﺳﺎل اﻟﻤﻨﺎﺑﻊ إﻟﻰ اﻟﻐﺴﻴﻞ‬ ‫واﻟﺘﻌﻘﻴﻢ ﺑﻌﺪ آﻞ اﺳﺘﻌﻤﺎل.‬ ‫ﻏﺎﻟﺒﺎ ﻻ ﺗﺤﺘﺎج اﻟﻤﻨﺎﺑﻊ‬ ‫ً‬ ‫اﻟﻤﺸﻌﺔ إﻟﻰ ﺗﻌﻘﻴﻢ إذا اﺳﺘﻌﻤﻞ‬ ‫ﺿﻤﻦ ﻣﻄﺒﻘﺎت ﻣﻐﻠﻘﺔ‬ ‫33‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫اﻟﻌﻨﺎﻳﺔ ﺑﺎﻟﻤﺮﻳﺾ‬ ‫ﺗﺼﻤﻴﻢ ﻏﺮف اﻟﻤﻌﺎﻟﺠﺔ ﺑﺎﻟﺘﻤﺎس‬ ‫43‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫71‬

‫3102 ‪7 April‬‬ ‫‪Osamah Anjak‬‬ ‫اﻟﺨﻼﺻﺔ‬ ‫•‬ ‫•‬ ‫•‬ ‫•‬ ‫ﻳﻌﺪ ﺗﺨﻄﻴﻂ اﻟﻤﻌﺎﻟﺠﺔ أآﺜﺮ اﻟﻤﺮاﺣﻞ أهﻤﻴﺔ ﻓﻲ ﻣﺠﺎل اﻟﻤﻌﺎﻟﺠﺔ‬ ‫وﻳﺤﺘﺎج آﻞ ﻣﺮﻳﺾ ﻳﺤﺘﺎج اﻟﻰ ﻣﺨﻄﻂ ﺧﺎص ﻳﺘﻨﺎﺳﺐ ﻣﻊ‬ ‫ﺣﺎﻟﺘﻪ. وهﺬا اﻟﺘﺨﻄﻴﻂ ﻣﻔﻴﺪ ﻓﻲ وﻗﺎﻳﺔ اﻟﻤﺮﻳﺾ ﺣﺴﺐ ﻣﺎ ورد‬ ‫ﻓﻲ ‪،BSS‬‬ ‫ﻳﺘﻄﻮر ﺗﺨﻄﻴﻂ اﻟﻤﻌﺎﻟﺠﺔ ﻟﻴﺼﺒﺢ أآﺜﺮ ﺗﻌﻘﻴﺪا وﺑﺎﻟﺘﺎﻟﻲ ﻳﺠﺐ أن‬ ‫ً‬ ‫ﻳﺆﺧﺬ ﺑﻌﻴﻦ اﻻﻋﺘﺒﺎر اﻟﺰﻣﻦ اﻟﺬي ﻳﺴﺘﻐﺮﻗﻪ إﺟﺮاء اﻟﺘﺨﻄﻴﻂ.‬ ‫ﻓﻬﻢ واﺳﺘﻴﻌﺎب ﻣﺮاﺣﻞ اﻟﺘﻄﺒﻴﻖ ﻳﻔﻴﺪ ﻓﻲ اﻟﻮﺻﻮل إﻟﻰ ﻧﺘﺎﺋﺞ‬ ‫أﻓﻀﻞ.‬ ‫أﻳﻀﺎ إﺟﺮاءات ﺿﻤﺎن اﻟﺠﻮدة ‪ QA‬ﻣﻔﻴﺪة.‬ ‫ً‬ ‫53‬ ‫‪Osamah Anjak‬‬ ‫3102 ‪6 April‬‬ ‫أﺳـــــﺌﻠﺔ وﻣﻨﺎﻗﺸـــــﺔ‬ ‫‪AECS PO Box 6091, Damascus -SYRIA‬‬ ‫81‬

7 April 2013 Osamah Anjak :‫اﻟﻤﺮاﺟﻊ‬ • Johns H E and Cunningham J R 1983 The Physics of Radiology, 4th edition (Springfield: C Thomas) • Khan F M 1994 The Physics of Radiation Therapy, 2nd edition (Williams & Wilkins, Baltimore) • Williams J R and Thwaites D I 1993 Radiotherapy Physics in Practice (Oxford: Oxford University Press) • International Commission on Radiation Units and Measurements. Determination of dose equivalent resulting from external sources, ICRU report 39. Bethesda: ICRU; 1985. • International Commission on Radiation Units and Measurements ICRU 55, Bethesda. Prescribing, recording, and reporting interstitial brachytherapy. 1993. 6 April 2013 19 Osamah Anjak 37 AECS PO Box 6091, Damascus -SYRIA

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