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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 289RADIATION CONTROL
SUBCHAPTER EREGISTRATION REGULATIONS
RULE §289.229Radiation Safety Requirements for Accelerators, Therapeutic Radiation Machines, Simulators, and Electronic Brachytherapy Devices

  (51) Megavolt (MV) (megaelectron volt (MeV))--The energy equal to that acquired by a particle with one electron charge in passing through a potential difference of one million volts in a vacuum.

  (52) Mobile electronic brachytherapy device--An electronic brachytherapy device that is transported from one address to be used at another address.

  (53) Moving beam radiation therapy--Radiation therapy with any planned displacement of radiation field or patient relative to each other, or with any planned change of absorbed dose distribution. It includes arc, skip, conformal, intensity modulation and rotational therapy.

  (54) Nominal treatment distance--The following nominal treatment distances shall apply.

    (A) For electron irradiation, the distance from the scattering foil, virtual source, or exit window of the electron beam to the entrance surface of the irradiated object along the central axis of the useful beam, as specified by the manufacturer.

    (B) For x-ray irradiation, the virtual source or target to isocenter distance along the central axis of the useful beam to the isocenter. For non-isocentric equipment, this distance shall be that specified by the manufacturer.

  (55) Output--The exposure rate (air kerma rate), dose rate, or a quantity related to these rates from a therapeutic radiation machine.

  (56) Peak tube potential--The maximum value of the potential difference in kilovolts across the x-ray tube during an exposure.

  (57) Phantom--An object behaving in essentially the same manner as tissue, with respect to absorption or scattering of the ionizing radiation in question.

  (58) Physician--An individual licensed by the Texas Medical Board.

  (59) Port film--An x-ray exposure made with a radiation therapy system to visualize a patient's treatment area using radiographic film.

  (60) Portable shielding--Moveable shielding that can be placed in the primary or secondary beam to reduce the radiation exposure to the patient, occupational worker or a member of the public. The shielding can be easily moved to position with use of mobility devices or by hand.

  (61) Prescribed dose--The total dose and dose per fraction as documented in the written directive. The prescribed dose is an estimation from measured data from a specified therapeutic machine using assumptions that are clinically acceptable for the treatment technique and historically consistent with the clinical calculations previously used for patients treated with the same clinical technique.

  (62) Primary dose monitoring system--A system that will monitor the useful beam during irradiation and that will terminate irradiation when a preselected number of dose monitor units have been delivered.

  (63) Primary protective barrier--(See definition for protective barrier).

  (64) Protective apron--An apron made of radiation absorbing materials used to reduce radiation exposure.

  (65) Protective barrier--A barrier of radiation absorbing materials used to reduce radiation exposure. The types of protective barriers are as follows:

    (A) primary protective barrier--A barrier sufficient to attenuate the useful beam to the required degree.

    (B) secondary protective barrier--A barrier sufficient to attenuate the stray radiation to the required degree.

  (66) Protective glove--A glove made of radiation absorbing materials used to reduce radiation exposure.

  (67) Radiation detector--A device which, in the presence of radiation provides, by either direct or indirect means, a signal or other indication suitable for use in measuring 1 or more quantities of incident radiation.

  (68) Radiation field--(See definition for useful beam).

  (69) Radiation head--The structure from which the useful beam emerges.

  (70) Radiation oncologist--A physician with a specialty in radiation therapy.

  (71) Radiation therapy simulation system (simulator)--An x-ray system intended for localizing and confirming the volume to be irradiated during radiation treatment and confirming the position and size of the therapeutic irradiation field.

  (72) Radiation therapy system--An x-ray system that utilizes prescribed doses of ionizing radiation for treatment.

  (73) Scan--The complete process of collecting x-ray transmission data for the production of a tomogram. Data can be collected simultaneously during a single scan for the production of one or more tomograms.

  (74) Scan increment--The amount of relative displacement of the patient with respect to the CT x-ray system between successive scans measured along the direction of such displacement.

  (75) Scan sequence--A preselected set of 2 or more scans performed consecutively under preselected CT conditions of operation.

  (76) Scan time--The period of time between the beginning and end of x-ray transmission data accumulation for a single scan.

  (77) Scattered radiation--Radiation that has been deviated in direction during passage through matter.

  (78) Secondary dose monitoring system--A system which will terminate irradiation in the event of failure of the primary dose monitoring system.

  (79) Secondary protective barrier (See definition for protective barrier).

  (80) Shutter--A device attached to the tube housing assembly which can totally intercept the useful beam and which has a lead equivalency not less than that of the tube housing assembly.

  (81) Source-to-skin distance (SSD)--The distance from the source to the skin of the patient.

  (82) Spot check--Those tests and analyses performed at specified intervals for the purpose of verifying the consistent output of radiation equipment.

  (83) Stationary beam therapy--Radiation therapy without displacement of one or more mechanical axes relative to the patient during irradiation.

  (84) Supervision--The delegating of the task of applying radiation in accordance with this section to persons not licensed in the healing arts or veterinary medicine, who provide services under the physician's control. The physician or veterinarian assumes full responsibility for these tasks and shall assure that the tasks will be administered correctly.

  (85) Target--That part of an x-ray tube or accelerator onto which a beam of accelerated particles is directed to produce ionizing radiation or other particles.

  (86) Termination of irradiation--The stopping of irradiation in a fashion which will not permit continuance of irradiation without the resetting of operating conditions at the control panel.

  (87) Therapeutic radiation machine--X ray or electron producing equipment designed and used for external beam radiation therapy.

  (88) Traceable to a national standard--This indicates that a quantity or a measurement has been compared to a national standard, for example, National Institute of Standards and Technology, directly or indirectly through one or more intermediate steps and that all comparisons have been documented.

  (89) Tube housing assembly--The tube housing with tube installed. It includes high-voltage and/or filament transformers and other appropriate elements when such are contained within the tube housing.

  (90) Useful beam--Radiation that passes through the window, aperture, cone, or other collimating device of the source housing. Also referred to as the primary beam.

  (91) Veterinarian--An individual licensed by the Texas Board of Veterinary Medical Examiners.

  (92) Virtual source--A point from which radiation appears to originate.

  (93) Wedge filter--An added filter effecting continuous progressive attenuation on all or part of the useful beam.

  (94) Written directive--An order in writing for the administration of radiation to a specific patient as specified in subsection (h)(1)(F)(ii) of this section.

(f) Accelerators used for research and development and industrial operations.

  (1) Registration. Each person possessing an accelerator for non-human use, shall apply for and receive a certificate of registration from the agency before beginning use of the accelerator. A person may energize the accelerator for purposes of installation and acceptance testing before receiving a certificate of registration from the agency in accordance with §289.226(i)(1) of this title.

  (2) Facility requirements.

    (A) Each accelerator facility shall be provided with primary and/or secondary barriers as are necessary to assure compliance with §289.231(m) and (o) of this title.

Cont'd...

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