A review on the radiation therapy technologist received dose from induced activation in highenergy medical linear accelerators

Abstract

Despite all advantages for using high-energy photons for radiotherapy, high-energy photon beams (=10 MV) induce photonuclear and neutron capture interactions, which result in producing radionuclide byproducts inside the Linac head and bunker, exposing radiation therapy technologists (RTTs) and patients to excessive dose. By the use of higher photon energy, greater number of monitor unit, greater field size and adding treatment accessories, induced dose rate become greater in the isocenter mainly due to activation of high-Z materials inside the Linac head. Activated radionuclides disintegrate with ?, ?+ and ?- rays with half-lives between 2 min up to more than 5 years. Several researches estimated additional exposure to an RTT depend on treatment strategies, beam energy, and delay time before entrance to the treatment room between 0.1 and 4.9 mSv/ y and proposed at least 2 min delay before entrance to the treatment room after treatments with high-energy photon beams. é The Author(s) 2018. Published by Oxford University Press. All rights reserved.