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Clinical Aspects of Medical Radia2on Physics Rebecca Guidry, M.S., DABR Clinical Medical Physicist Mary Bird Perkins Cancer Center

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Page 1: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Clinical  Aspects  of  Medical  Radia2on  Physics  

Rebecca  Guidry,  M.S.,  DABR  Clinical  Medical  Physicist  

Mary  Bird  Perkins  Cancer  Center  

Page 2: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

What  is  Medical  Physics?  

•  A  medical  physicist  is  a  professional  who  specializes  in  the  applica2on  of  the  concepts  and  methods  of  physics  to  the  diagnosis  and  treatment  of  human  disease.  

•  Therapeu2c  Physics  •  Diagnos2c  Physics  •  Nuclear  Physics  •  Medical  Health  Physics      

Page 3: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Therapeu2c  Radiological  Physics  

•  The  therapeu2c  applica2ons  of  x-­‐ray,  gamma  ray,  neutron,  electron,  and  charged  par2cle  beams,  and  radia2on  from  sealed  radionuclide  sources.  

•  The  equipment  associated  with  their  produc2on,  use,  measurement  and  evalua2on.    The  quality  of  images  resul2ng  from  their  produc2on  and  use.  

•  Medical  Health  Physics  

Page 4: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Cell  Killing  By  Ionizing  Radia2on  

Page 5: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Diagnos2c  Radiological  Physics  

•  The  diagnos2c  applica2ons  of  x-­‐rays,  gamma  rays  from  sealed  sources,  ultrasonic  radia2on,  and  radio  frequency  radia2on  and  magne2c  fields.  

•  The  equipment  associa2on  with  their  produc2on,  use,  measurement  and  evalua2on.  

•  The  quality  of  images  resul2ng  from  their  produc2on  and  use.  

•  Medical  Health  Physics  

Page 6: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Discovery  of  X-­‐rays  •  On  8  Nov  1895,  Wilhelm  Conrad  Röntgen  (accidentally)  discovered  an  

image  cast  from  his  cathode  ray  generator.  

Page 7: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Diagnos2cs  

•  X-­‐ray  Machines  •  Fluoroscopy  •  Computerized  Tomography-­‐CT  Scanner  •  Magne2c  Resonance  Imager-­‐  MRI  •  MR  Spectroscopy  •  Positron  Emission-­‐PET  Scanner  •  CT-­‐PET  Scanner  

Page 8: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983
Page 9: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Medical  Nuclear  Physics  

•  The  therapeu2c  and  diagnos2c  applica2ons  of  radionuclides  in  unsealed  sources  

•  The  equipment  associa2on  with  their  produc2on,  use,  measurement,  and  evalua2on.  

•  The  quality  of  images  resul2ng  from  their  produc2on  and  use.  

•  Medical  Health  Physics  

Page 10: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Nuclear  Medicine  

•  Radioac2ve  Materials  injected  or  ingested  •  Radioac2vity  yields  images  of  func2on  

•  Fused  MRI/NMI  

Page 11: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Gamma  Camera  Scan  

Page 12: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Medical  Health  Physics  

•  The  safe  use  of  x-­‐ray,  gamma  ray,  neutron,  electron  and  other  charged  par2cle  beams  or  radionuclides  in  medicine  (for  diagnos2c  or  therapeu2c  purposes).  

•  The  instrumenta2on  required  to  perform  appropriate  radia2on  surveys.  

•  Radia2on  Safety  Officer  

Page 13: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Emergency  Management  of  Radia2on  Casual2es  

Page 14: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Radia2on  Exposure/Contamina2on  

•  Accidents  •  Nuclear  reactor  •  Industrial  irradiator  •  Lost/stolen  sources  •  Transporta2on  •  Medical  radia2on  •  Terrorist  Event  

Page 15: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Radia2on  Doses  and  Dose  Limits  

•  Flights—LA  to  London      5  mrem  •  Annual  Public  dose  limit                100  mrem  •  Natural  Background  annual                300  mrem    •  Heart  Catheriza2on,  Barium  enema,  Chest  X-­‐ray,  fetal  dose  limit,  radia2on  worker  limit…  

•  Governs  worker  safety,  pa2ent  safety,  staff  safety,  general  public  safety  

Page 16: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Primary  Discipline  

76%

15%

3% 4% 1%1%

Radiation Therapy

Imaging Physics

Nuclear Medicine

Health Physics

Engineering

Administration

Page 17: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Primary  Responsibility  

78%

8%

5%3% 4% 2%

Clinical

Academic

Research

Administrative

Regulatory

ProductDevelopment

Page 18: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Clinical  Responsibili2es  

•  Daily  clinical  support  •  Equipment  acquisi2ons  •  Site  planning  •  Quality  assurance-­‐d-­‐w-­‐m-­‐a  •  Dose  calcula2ons  •  Liaison  between  other  medical  professionals,  manufacturers,  regulatory  agencies  

•  Development,  inves2gate,  scien2fic  research  

Page 19: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Professional  Training  

•  MS  or  PhD  in  Medical  Physics  •  MS  or  PhD  in  physics  or  related  discipline  with  post-­‐graduate  academic  training  in  medical  physics  

CLINICAL  TRAINING  •  Residency  in  clinical  medical  physics-­‐CAMPEP  BOARD  ELIGIBILITY  2014  •  Must  have  CAMPEP  approved  residency    

Page 20: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

LSU  Medical  Physics  Program  

•  Phys.lsu.edu  – Medical  Physics  &  Health  Physics  Program  – Graduate  Program  – CAMPEP  Accredited  – Curriculum-­‐Health  Physics  or  Medical  Physics  

•  Marybird.org-­‐  Medical  Physics  Program  – Graduate  Training  Program  – Residency  Training  Program  

Page 21: Clinical’Aspects’of’Medical’ Radiaon’Physics’ · Clinical’Aspects’of’Medical’ Radiaon’Physics ... Nuclear’Medicine ... 1969 1971 1973 1975 1977 1979 1981 1983

Total AAPM Membership

0

1000

2000

3000

4000

5000

6000

1969

1971

1973

1975

1977

1979

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

Year

Num

ber o

f Mem

bers

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Customs Act 1901 - WIPORemainder: 1 Oct 1969 (gaz 1969, p 5771) s 37 Customs Act 1971 12, 1971 5 Apr 1971 s 1–3 and 5: 5 Apr 1971 s 4: 1 July 1974 (gaz 1974, No 53D) s 5 Customs

PUBLIC LIBRARY OCT). 5 11 DISIRICIS 18, 19 20 ElinLæth L ...Sara P. Neil Oliver E. Richard CHANDLER Jones Ray Ollie 1970 w/o T. 1969 1969 1977 1983 1971 1967 1977 1981 1976 1971 1979

CEP California Economic PolicyFCV fuel cell vehicle GHG greenhouse gas GM General Motors HEV hybrid-electric vehicle ... 1967 1969 1971 1973 1975 1977 1979 1981 1983 1985 1987 1989

A Profile of Chapman University · John L. Davis 1957-1971 Donald C. Kleckner 1971-1975 Davis Chamberlin (Acting) 1976-1977 G.T. Smith 1977-1988 James L. Doti (Acting) 1988-1989 Allen

The Rock of Red Power: The 1969-1971 Occupation of

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Computer Oral History Collection, 1969-1973, 1977

DED Management Slideshow - dutchelmdisease.ca€¦ · 0 50,000 100,000 150,000 200,000 250,000 1963 1965 1967 1969 1971 1973 1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995

Dr. Vijaypat Singhania - IIMA · 1981 Mr. Keshub Mahindra 1997 Mr. Adi Godrej INDIAN INSTITUTE OF MANAGEMENT AHMEDABAD 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977

STATE OF CONNECTICUT · 1957-1958 1961-1963 1962-1963 1963-1964 1963-1966 1964~1966 1969-1971 1971-1975 1971-1972 1971-1972 Fairfield University, M. A. Administration and Supervision

A Global Challenge - UNFCCC...0 2000000 4000000 6000000 8000000 10000000 12000000 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979

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Ree Morton Retrospective 1971-1977

Wisconsin Department of Natural Resources 2011 …dnr.wi.gov/files/pdf/pubs/le/LE0006_2011.pdf1949 1951 1953 1955 1957 1958 1961 1963 1965 1967 1969 1971 1973 1975 1977 1979 1981 1983

1971 GEOLOGICAL EXPLORATION OF PEACE RIVER CANYON … · River Canyon in 1969 and 1970, and drilled three holes in late 1969. In 1971 geological field work on the coal properties

Computer Oral History Collection, 1969-1973, 1977 · 2006. 1. 12. · Computer Oral History Collection, 1969-1973, 1977 For additional information, contact the Archives Center at

Analysis of long-term effort-related land-based ...data.jncc.gov.uk/data/b658689f-7cc2-4af7-b9c5-7058...mu. site 1965 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980

1969 Appointed with CBFMS Assignment: Evangelism in Kalimantan Barat (Borneo, Indonesia) Arrived August 1971

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Computer Oral History Collection, 1969-1973, 1977 · 2007. 10. 16. · Computer Oral History Collection, 1969-1973, 1977 4 John V. Atanasoff, 1969, Archives Center, National Museum

Computer Oral History Collection, 1969-1973, 1977 · 2007. 1. 3. · Computer Oral History Collection, 1969-1973, 1977 For additional information, contact the Archives Center at 202.633.3270

1966 1967 1968 1969 1970 1971 - Montanasvcalt.mt.gov/education/textbook/Chapter21/Chapter21.pdf · 1971 Federal government publishes North Central Power Study 1971 Chilean government

THE MODERN ERA. Truman 1945-1953 Eisenhower 1953-1961 Kennedy 1961-1963 LBJ 1963-1969 Nixon 1969-1974 Ford 1974-1977 Carter 1977-1981

ABRÉVIATIONS JURIDIQUES A Abréviation Titre...vol.1(1969)-vol.3(1971) vol.4(1972)-vol.9(1977) vol.10(1978)-vol.13(1981) C.E.D. Canadian Encyclopedic Digest Encyclopedic vol.1-vol.22(1949)

pu.edu.pkpu.edu.pk › images › journal › uoc › PDF-FILES › (7)_v83_1-2_08.pdf164 1969 1971 1971 € 1974 F 1977 1979 — 1980 1980 — - 1981 1981 $ — 1981 -Muhammad Shabbir,

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INSIDE: LEAVERS 2015 - Downe House School issue 13 FINAL Proof... · INSIDE: LEAVERS 2015 ... 1969 Angela Lavinia Bray 1969 Mary Readhead (Clay) ... 1977 Sara Laughton-Scott 1977

[1971] - Bibiliography of Relay Literature, 1967-1969

On the Move-to-the-Left in Uganda 1969-1971: The Common Man… · Title: On the Move-to-the-Left in Uganda 1969-1971: The Common Man's Charter - Dissemination and Attitude Author:

Manual Scavengers: Welfare and Rehabilitation Scavengers... · It was amended in 1977 and is now known as the Protection of Civil ... Pradesh (1955), Haryana (1969), Kerala (1971)

DELINEATION OF SUBSURFACE STRATIGRAPHY AND … · More detailed treatment of this subject is available in Leenhardt (1969), Haeni (1971), EG and G Environmental Equipment (1977),

THE JERRY GRAY STORY 1969-1977 - Colorado

Orbital Debris Program - NASA · Orbital Debris Program ... 1957 1959 1961 1963 1965 1967 1969 1971 1973 1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 ... • “Prevention

Computer Oral History Collection, 1969-1973, 1977 · 2011-03-22 · Computer Oral History Collection, 1969-1973, 1977 For additional information, contact the Archives Center at 202.633.3270