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Eduardo de Paiva
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very year millions of people contract cancer in the essentially on the inverse-square law and on the exponential
world, and according to prediction of the World Health attenuation law of radiation intensity, as follows.
Organization by the year 2030 there will be about 27
million new cases. Because of these figures and the resulting A. The inverse-square law
social and economic implications of this disease, radiother- Let us consider that the radiation source in Fig. 1(b) is
apy, which is one form of treatment that uses ionizing radia- a point source (in high-energy external radiotherapy the
tion,1 has a great importance. In the classroom the teacher photon source can be considered as a point source since its
can introduce the subject of the use of ionizing radiation in dimensions [a few millimeters] are much smaller than the
medicine and the basic physical principles to calculate the usual distances to the barrier used in teletherapy [some me-
thickness of the walls of the rooms that house ionizing radia- ters]) that emits radiation isotropically, and is two imaginary
tion sources. concentric spheres of radii d0 and d meters with their centers
Radiotherapy can be classified as brachytherapy when on the source. The number of photons emerging from each
the radiation source is near or in contact with the lesion, and sphere per unit area is j0 and jd, respectively, for the spheres
teletherapy when the source is external and distant from the of radii d0 and d meters. As the total number of photons ema-
lesion. In the latter case, there are large clinical linear accelera- nating from the source and that cross each concentric sphere
tors2 that produce photon beams of high energies (up to tens is a conserved quantity, we can write
of megaelectron-volts).3 In external beam radiation therapy,
an important problem of radiation protection is how to calcu- (1)
late the shielding barrier thickness in order to avoid the vicin- 0
DOI: 10.1119/1.4944368 THE PHYSICS TEACHER ◆ Vol. 54, April 2016 239
which is the mathematical expression of the inverse-square production is the dominant process of interaction. For pho-
law. In terms of dose rates, Eq. (1) can be written as ton energies above 10 MeV, photonuclear reactions can occur
with the emission of nucleons, mainly neutrons, but this pro-
(2) cess of interaction is expected to contribute at most 10% to
the total mechanism of photointeraction.6
where D is the dose rate at the distance d [with no shielding,
see Fig. 1(b)] and D0 is the dose rate at the reference distance C. The expression for the primary barrier thickness
d0 (here considered as 1 m). D0 depends on parameters of In Fig. 1(a) the dose D1 is the same dose equivalent shown
the electron linear accelerator (linac); the number of patients in part B, obtained by the inverse-square law [see Eq. (3)].
treated per day; the frequency and types of treatment; and In Fig. 1(a) is also shown a barrier of thickness S (= d – d1)
whether the point A to be protected is an area with sporadic, placed between point A1 and the point to be protected in
partial, or full occupancy.4 It is important to note that D is order to reduce the dose equivalent at distance d to the maxi-
the dose equivalent per week that a person located at distance mum permissible value P. When the amount of radiation at
d in point A would receive in the absence of shielding.5 In a A1 passes through the material of thickness S, it reaches the
similar way we can write for the dose D1 at distance d1 (point point A simultaneously reduced by the inverse-square law
A1, see Fig. 1) from the source and by the attenuator. So, the weekly dose equivalent P is ob-
tained by a combination of the two laws
1
(3)
(6)
B. The exponential attenuation law
The attenuation of the intensity of an electromagnetic and with Eqs. (2) and (3) we have
radiation beam as it passes through an absorbing medium is (7)
described by the exponential law
I = I0 e –mx , (4) It should be noted that the ratio P/D is just the factor of
transmission necessary to reduce D to P. From the above
where I is the radiation transmitted when radiation of initial equation the barrier thickness S can be written as
intensity I0 encounters a material of thickness x, and m is the
linear attenuation coefficient, which depends on the energy (8)
of radiation and on the nature of the absorbing material. The
attenuation of a photon beam is mainly governed by Thom- For each material and radiation energy there is a thickness of
son scattering, Compton scattering (scattering processes) and the material that reduces the intensity of incident radiation
photoelectric effect, pair production (in nuclear and elec- to one-tenth of its initial value, the tenth-value layer (TV L).
tron field), and photodisintegration (absorption processes). Therefore, from Eq. (4) it is straightforward to obtain
Therefore, the attenuation coefficient m represents the sum of
individual coefficients (9)
m = m Thomson + mphotoel + mCompton + mpair + mphotodis. (5)
Combining relations (8) and (9) results in
Thomson scattering is important only at low energies of
the incident photon (E < 10 keV) and for high atomic number (10)
Z of the absorber, and therefore in radiotherapy with the use
of linear accelerators (E 4 MeV) it can be neglected. The Finally, inserting Eq. (2) obtained from the inverse-square
attenuation from the photoelectric effect is roughly propor- law, we have
tional to Zn/E3, where n is a number between 3 and 4, and
for this reason it is the principal mechanism of interaction (11)
at low photon energies; as the photon energy increases, the
1
contribution of photoelectric effect decreases sharply until for the primary barrier thickness. Note that the dose D1 does
the photon energy exceeds the electron binding energy and not appear in this final equation. We are not interested in the
Compton scattering begins to predominate. Compton scat- dose at the left of the barrier; it was introduced just to make
tering decreases with energy and is quite independent of Z. the derivation of the above equation more clear.
The contribution of pair production to the total attenuation
coefficient has a threshold energy of 1.02 MeV and increases D. Examples of calculation
with Z2 and with the photon energy. As the energy increases, 1. Let us consider a 10-MV facility (refer to Fig. 2). Suppose
the contribution due to Compton scattering diminishes and that the distance from the source to the point of interest on
the pair production increases. At higher energies the pair the outer side of the barrier is 5.5 m; location A is a public
10 MV linac
W = 1000 Gy/week
garden
A
----- S -----
4 MV LINAC
W = 800 Gy/week by weight respectively equal to 0.000124, 0.755268, 0.231781,
S2 source S1 and 0.012827), with linear coefficients m as a function of
photon energy given in Ref. 6, and also considering as the
1.38
processes of interaction of radiation with air only Compton
scattering, pair production, and photonuclear absorption, we
calculate the ratios of transmitted to incident photon intensi-
ties when the photon traverses an air layer of thickness d – S
by means of Eqs. (4) and (5). Here S is calculated for ordinary
concrete (r = 2.35 g/cm3), uncontrolled area (P = 0.02 mSv/
Fig. 3. A floorplan of an actual radiotherapy facil- week), and for a constant value of the dose rate D0 equal to
ity room with a 4-MV linac. The photon beam
directed toward the left barrier (S2) is shown, and
125 Gy/week for photon energies ranging from 4 to 30 MeV.
all distances are expressed in meters. Using the transmittance ratio of 0.975 as the criterion for
in
whether the inverse-square law is significantly violated, we
the dose rate D0, the energy of the photon beam, and the
thickness of the primary barriers.
0.80
3 10 50
Distance from the source, d [m] References
1. H. M. Doss, Ionizing Radiation and Humans –The Basics,
Fig. 4. Ratio of the transmitted to incident photon http://www.physicscentral.com/explore/action/radiation
intensity in dry air as a function of distance from andhumans.cfm.
the source to the point to be protected. Photon 2. Ervin B. Podgorsak, Radiation Physics for Medical Physicists
energies are equal to 4, 6, 10, 15, 20, and 30 MeV.
(Springer, 2010), Chap. 14.
3. One megaelectron-volt (MeV) refers to the maximum energy
In view of the inverse-square law a very short source inner
of a photon produced by the process of bremsstrahlung when
surface of the barrier distance is desirable, although it is not an electron accelerated to a voltage of 1 mega-volt (MV) col-
achievable in practice. Nevertheless, if we adopt as an op- lides with a metallic target.
erational separation (dop) between the source and the inner 4. National Council on Radiation Protection and Measurements,
barrier surface the value of d1 = 3 m (a reasonable horizontal NCRP Report 151 (2005).
distance that allows the staff to freely circulate around the lin- 5. It is possible to consider a distance of clearance between the
ear accelerator during the positioning of the patients and car- wall and the person, and it is usually assumed to be 30 cm.
rying out quality control checks), the minimum distances d 6. NIST homepage, National Institute of Standards and Technol-
from the source to point A vary from dmin . 4.9 m for 4 MeV ogy, http://physics.nist.gov/PhysRefData/Xcom/html/xcom1.
up to dmin . 5.7 m for 30 MeV. These results can be found by html.
setting S = d – dop in Eq. (11) and solving it numerically for d. 7. The sievert (Sv) is the unit of dose equivalent, which differs
Once again, these minimum distances do not change signifi- from the absorbed dose (Gy) because it takes into account the
quality factors of radiation. However, for photons they are nu-
cantly if we adopt the recommended value for controlled area
merically equal, 1 Gy = 1 Sv.
and/or duplicate the dose rate D0.
8. D0 can be defined by D0 = WUT. Here W (workload) is the ra-
diation output per week of the external beam x-ray source. For
Conclusion example, for 50 patients per day, 5 days per week, and a dose of
Basic hypotheses are used in a direct calculation method 4 Gy per patient, we have W = 50 patients/day 5 days/week
to estimate the primary barrier thickness of a radiotherapy 4 Gy/patient = 1000 Gy/ week. T (occupancy factor) is the frac-
facility room housing a high-energy photon source. The tion of time that a person remains in the protected area while
method is based on the application of the inverse-square law the beam is on. U (use factor) is the fraction of time that the
and on exponential attenuation law of radiation intensity, and beam is directed to barrier. So, for W = 1000 Gy/week, T = 0.5,
a simple analysis of the validity of the inverse-square law is and U = 0:25, we have D0 = 125 Gy/week.
done for common distances used in teletherapy. Results have
indicated that for high-energy external radiotherapy with Instituto de Radioproteção e Dosimetria-IRD/CNEN, Brazil;
edup2112@gmail.com
photon sources with energies varying from 4 to 30 MeV, the
minimum distances to the barrier are in the range ~ 4.9 –
5.7 m and the maximum distances to the protected region are