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By Ossama Anjak

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  • 1. Barchytherapy Equipment and Protection15/03/2011 2010- 2011Ossama Anjak, oanjak@yahoo.com, Damascus, SYRIA1

2. Barchytherapy Equipment and Protection1102/30/51 : . 31102/30/51 ) LDR .(HDR ) (. ).(IVB ) (. . : . . 421102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 3. Barchytherapy Equipment and Protection1102/30/51 51102/30/51 )Internal Radiation Therapy (Brachytherapy . ) (. ) (. : . . 631102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 4. Barchytherapy Equipment and Protection1102/30/51??? Brachytherapy (Greek:) Short distance therapy source guidance plateneedles Ossama Anjak1102/51/37 )*(: ) ( Breast Head and Neck Uterus and Cervix Lung .Esophagus 84)*( . 1102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 5. Barchytherapy Equipment and Protection1102/30/51 : . ) ......... ( . . . 91102/30/51Brachytherapy & EBT 0151102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 6. Barchytherapy Equipment and Protection15/03/2011Brachytherapy & EBTTreated volume Dose distributionEBRTBrachytherapyHomogenousHeterogeneousLargeDose rateSmallVariable HDR, LDR, (PDR) Few Short; hours to daysLowFractionation Treatment durationMultiple Long; weeks to months11 15/03/2011 Photon energy Isotope (MeV) Cs-137 30 Y 0.662 1.17Co-60 5.26 Y 1.33 Au-198 2.7 d 0.41 HalfLifeIr-19274 d0.3-0.6I-13160 dRa-2261640Y0.0270.03615/03/2011Ossama Anjak, oanjak@yahoo.com, Damascus, SYRIA0.2-2.4HVLAir Kerma rate per GBq at 1m (mGy.h-1)5.50.07811.00.307Needles and tubes2.50.055Grains for PI2.50.113Wire and pins Pellets for HDR3.110.034Seeds for PI8.00.195Needles and tubes(mm Pb)Sources available Needles and tubes Pellets for HDR12 6 7. Barchytherapy Equipment and Protection1102/30/51 : )(a)(b . ].[BSS ] .[ IAEA 311102/30/51 . . .HDR . . . . 4171102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 8. Barchytherapy Equipment and Protection1102/30/51: . . . conformal radiotherapy . . : . . 511102/30/51 125I: : 100 seeds of ~ 13 MBq/seed = 1.3 GBq < 0.0025 mSv/h at 1m ~ 17 days for 1 mSv at 1m 198Au : 8 seeds of ~ 110 MBq/seed = 880 MBq ~ 0.06 mSv/h at 1m ~17 hours for 1 mSv at 1m 6181102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 9. Barchytherapy Equipment and Protection1102/30/51 : . . .eye plaque . 711102/30/51: : 60Co 137Cs . 192Ir . 198Au 125I 103Pd . 819 1102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 10. Barchytherapy Equipment and Protection1102/30/51 : : 137Cs .90Sr60Co . 911102/30/51Eye Applicators . )( )( . 02011102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 11. Barchytherapy Equipment and Protection1102/30/51 )( : 90Sr . 137Cs 60Co . 121102/30/51 )3391 (Murdoch, Brussels 22111102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 12. Barchytherapy Equipment and Protection1102/30/51 . 321102/30/51)( ) (squamous cell carcinoma . . 42211102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 13. Barchytherapy Equipment and Protection1102/30/51)( 521102/30/51)(: . 62311102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 14. Barchytherapy Equipment and Protection1102/30/51 721102/30/51 : . . . . 82411102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 15. Barchytherapy Equipment and Protection1102/30/51 137Cs . 921102/30/51 : . . : . . ) (. 03511102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 16. Barchytherapy Equipment and ProtectionBrachytherapy Afterloading15/03/201131 15/03/2011Brachytherapy Afterloading .)( 15/03/2011Ossama Anjak, oanjak@yahoo.com, Damascus, SYRIA32 16 17. Barchytherapy Equipment and Protection1102/30/51 ) ( LDR HDR :HDR High Dose Rate :LDR Low Dose Rate : . 192Ir, 60Co or .137Cs 331102/30/51 ) ( LDR HDR HDR 180 GBq .740 GBq LDR ~370 MBq 055~.MBq HDR LDR 43711102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 18. Barchytherapy Equipment and Protection1102/30/51 ) ( LDR HDR HDR LDR HDR LDR . HDR ) ( LDR 531102/30/51HDR ) : 6 .(6 Gy . 6 . 63811102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 19. Barchytherapy Equipment and Protection1102/30/51) HDR (. Varian . . 731102/30/51) HDR(HDR 83911102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 20. Barchytherapy Equipment and Protection15/03/2011LDR HDR: LDR (137Cs) 10 pellets each 550 MBq = 5.5 GBq total ~ 0.2 mSv/h at 1 m ~ 5 days for 1 mSv 39 15/03/2011LDR HDRHDR (192Ir) 370 GBq source ~ 47 mSv/h at 1 m ~1.3 minutes for 1 mSv 15/03/2011Ossama Anjak, oanjak@yahoo.com, Damascus, SYRIA40 20 21. Barchytherapy Equipment and Protection15/03/2011Image Guided Brachytherapy ultrasound (125- ) guidance plate41 15/03/2011 15/03/2011Ossama Anjak, oanjak@yahoo.com, Damascus, SYRIA 42 21 22. Barchytherapy Equipment and Protection15/03/2011 43 15/03/2011Ossama Anjak, oanjak@yahoo.com, Damascus, SYRIABrachytherapy Accessories (Prostate Treatment).22 23. Barchytherapy Equipment and Protection1102/30/51 541102/30/51 . )( . . 64321102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 24. Barchytherapy Equipment and Protection1102/30/51)(: )+%06 ( . . .90Sr/Y, 188Re 192Ir,32P 741102/30/51 :)(: . . . )(90Sr )Beta-Cath System (Novoste 84421102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 25. Barchytherapy Equipment and Protection:(15/03/2011) Pre-PTCA6 Post-PTCA49 15/03/2011: Ossama Anjak, oanjak@yahoo.com, Damascus, SYRIA25 26. Barchytherapy Equipment and Protection1102/30/51 : : . . : .Autoradiograph . .ribbons 151102/30/51 )(: . )%01~( . )( : )%3(. )5%(. 25 621102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 27. Barchytherapy Equipment and Protection1102/30/51 Calibration . . )731 : (eg Cs . Nucletron )521-.( ...... Ir-193, I . ) 521- I ( ) 01% (. 35Ossama Anjak1102/30/51 : . . Mentor . Radionuclide distribution .and uniformity .Autoradiograph4572Ossama Anjak1102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 28. Barchytherapy Equipment and Protection1102/30/51 : door interlocks Lights and alarms Radiation monitor Console functions source guidesGamma SonicsOssama Anjak551102/30/51 : source dummy Source positioning 3 : Calibration .Timer function source guides.6582Ossama Anjak1102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 29. Barchytherapy Equipment and Protection1102/30/51 : Dose calculation algorithm Simulate emergency conditions Verify source inventory75 . . ) dwell .(position ) (.8592Ossama Anjak1102/30/51Ossama Anjak1102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 30. Barchytherapy Equipment and Protection1102/30/51 Verification of source position 95Ossama Anjak 1102/30/51position check Auto-radiograph .HDR0603Ossama Anjak1102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 31. Barchytherapy Equipment and Protection1102/30/51 LDR LDR source position checkAuto-radiograph16QA kit for LDR autoradiographOssama AnjakLDR unit1102/30/51: : . : . . . . . . 26131102/30/51,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 32. Barchytherapy Equipment and Protection1102/30/51 )( : reliable mechanical .integrity . . 361102/30/51 1102/51/323Ossama Anjak46,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 33. Barchytherapy Equipment and Protection1102/30/51 : . Ossama Anjak 1102/51/3 56 ISO : 1. )( : . . 291 Ir hair pins . 1102/51/333Ossama Anjak66,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 34. Barchytherapy Equipment and Protection1102/30/51 : . . . . . . . 1102/51/3Ossama Anjak76 wipe test leakage test . 1102/51/343Ossama Anjak86,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 35. Barchytherapy Equipment and Protection1102/30/51 . . ) (1102/51/3Ossama Anjak96 . 1102/51/353Ossama Anjak07,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 36. Barchytherapy Equipment and Protection1102/30/51 : . . . .1102/51/3Ossama Anjak17 )1( 1102/51/363Ossama Anjak27,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 37. Barchytherapy Equipment and Protection1102/30/51 )2( 1102/51/3Ossama Anjak37 )3( .1102/51/373Ossama Anjak47,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 38. Barchytherapy Equipment and Protection1102/30/51 )4( : . . .1102/51/3Ossama Anjak57 )5( . 1102/51/383Ossama Anjak67,Ossama Anjak, oanjak@yahoo.com Damascus, SYRIA 39. Barchytherapy Equipment and Protection1102/30/51 )6(

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