Month: June 2022

29 Jun 2022
Straw hat, bright red glasses and orange bottle of sunscreen for sun protection

Ultraviolet Radiation: How to Protect Yourself

Summer is in full swing. As a result, many Michiganders are spending more time in the great outdoors taking advantage of the warmth and sunshine.

However, the more time a person spends outdoors the more their body is exposed to Ultraviolet (UV) radiation. UV radiation, a form of non-ionizing radiation, is invisible to the human eye and cannot be felt. It can cause severe skin damage and lead to the development of skin cancer.

Here at Versant Physics, our focus is primarily on radiation safety in relation to ionizing radiation sources used in medical procedures and cancer treatments. However, it is just as important that you protect yourself from naturally occurring UV radiation and understand the potential health risks.  

In honor of UV Safety Month, we’ll explain what UV radiation is, the most common types of skin cancer and other health risks associated with UV radiation, and important protective measures you should take when out in the sun.

What is UV Radiation?

Ultraviolet (UV) radiation is a non-ionizing form of electromagnetic radiation that has both natural and artificial sources. Most of the UV radiation from sunlight gets absorbed by Earth’s atmosphere. What doesn’t get absorbed makes its way to the surface and interacts with our skin. UV rays are present even on cloudy days and also reflect off surfaces like snow, sand, and water.

There are three types of UV radiation rays:

  • Ultraviolet A (UVA)
  • Ultraviolet B (UVB)
  • Ultraviolet C (UVC)

UVA rays have the lowest wavelength of the different types of UV radiation; however, they make up over 95% of the rays that reach the Earth’s surface. These rays penetrate through the layers of skin, damaging the elastin and collagen. This results in tanned skin and skin aging, often in the form of wrinkles or age spots.  

UVB radiation is made up of high-energy UV rays that interact with the top layers of skin. UVB rays interact with skin cells and damage them, causing DNA mutations that show up later in the form of sunburns, skin cancer, or cataracts.

UVC rays are the strongest of the UV rays. Almost all of this UV radiation is absorbed by Earth’s atmosphere.

Unprotected, prolonged exposure to UV radiation from the sun is connected to a variety of health risks, including:

  • Premature aging
  • Skin damage
  • Cataracts
  • Immune system suppression
  • Skin cancer

UV Radiation Exposure and Skin Cancer

UV radiation causes melanoma and nonmelanoma skin cancers called basal cell carcinoma (BCC) and squamous cell carcinoma (SCC).

Melanoma

Melanoma is a type of skin cancer that forms in the melanocytes. These cells are located beneath the squamous and basal cells and are what produce melanin, the pigment that gives hair, eyes, and skin its color.   

Melanoma is less common than other types of skin cancer, however, it is more dangerous. This is because melanoma it more likely to spread to other parts of the body if left untreated. Melanoma often presents as a highly pigmented black or brown tumor on the torso, chest, neck, or face.

The “ABCDE” rule can help patients identify if their existing mole or new skin growth is a warning sign of melanoma:

  • Asymmetry. The two halves of the mole do not match.
  • Border. Normal moles have a clean, even border. Melanoma will present with uneven or ragged edges.
  • Color. Melanoma tumors can be black, brown, pink, red, or white.
  • Diameter. Melanoma is usually a growth larger than a pencil eraser, or ¼ inch in diameter.
  • Evolving. The existing mole or new growth is changing in size, shape, texture, or color. It also may begin to itch, bleed, or ooze.

People with light skin, eyes, and hair are considered more at risk of developing melanoma than people with darker skin. Age, gender, occupation, family history, and lifestyle choices also play a role in the level of risk associated with developing melanoma.

Nonmelanoma Skin Cancers

Basal cell carcinoma is the most common type of skin cancer that begins in the basal cells. It shows up on areas of the body that are frequently exposed to UV radiation from sunlight, such as the head, face, or neck. It normally presents in the form of a skin lesion or shiny, skin-colored bump.

Squamous cell carcinoma is less common but just as serious. It presents as open sores, thick or wart-like skin, raised growths, or scaly red patches that may itch or bleed. SCC can show up anywhere on the body, although they are most often found on areas of the body that are frequently exposed to the sun.

Both BCC and SCC grow relatively slowly and are highly treatable. The sooner a new or strange-looking growth is looked at by a dermatologist and diagnosed, the better the odds are of treating the skin cancer. However, if left untreated, these skin cancers can spread to other areas of the body and become more dangerous.

UV Radiation Protection

There are many simple protective measures the average person can implement to help lessen the risks associated with UV radiation and its negative side effects.

  • Seek shade
  • Avoid prolonged sun exposure from 10 a.m. to 4 p.m. when the sun is strongest
  • Wear long sleeves or pants
  • Wear a hat and/or UV-blocking sunglasses
  • Wear a broad-spectrum sunscreen

Sunscreen is a major protector against UV radiation. Broad-spectrum sunscreens protect the skin from both UVA and UVB rays. Wearing a minimum of SPF 15 can reduce the risk of developing melanoma by 50% and SCC by 40%. Wearing a protective sunscreen daily can also help prevent premature skin aging.

Are There Any Health Benefits to UV Radiation?

Exposure to natural UV radiation from the sun has an important health benefit for the human body. UV radiation helps our bodies produce vitamin D, which is an essential vitamin that absorbs calcium in our stomachs, reduces inflammation, and is needed for healthy bone growth. Some food products contain vitamin D however most people get a portion of their vitamin D needs through sunlight.

There are no hard and fast numbers detailing how much sunlight exposure is needed for optimal vitamin D synthesis. The World Health Organization recommends no more than 15 minutes of direct sun exposure at least 3 times a week.

However, this does not negate the need for sun protection measures such as sunscreen and wearing protective clothing.

The Takeaway

It is important to protect yourself from UV radiation any time of the year. Although this non-ionizing source of radiation can help our bodies create vitamin D, it also interacts with our skin in a way that can lead to skin cancer. To prevent this, you should wear and apply sunscreen as directed, invest in UV-blocking glasses and clothes, and try to stay out of the sun as much as possible.

Learn more about UV and sun safety here.

24 Jun 2022

Radiation Safety and Brachytherapy Procedures

Brachytherapy is a procedure that involves placing radioactive material sources inside the body, either directly inside or next to a tumor. Also known as “close” radiation, this procedure is used to treat cancer by allowing doctors to deliver higher doses of radiation via a needle or catheter to specific areas of the body.

Areas of the body commonly treated using brachytherapy include the head and neck, skin, breast, cervix, lung, prostate, uterus, and eye. Brachytherapy implants can be temporary or permanent, depending on the type of treatment needed.

Brachytherapy targets the tumor directly, which increases exposure to the cancerous cells and reduces radiation exposure to the surrounding healthy cells. Because of the targeted nature of brachytherapy, it is best used for cancers that have not metastasized. It is considered as effective as—and sometimes used in conjunction with—external beam therapy.

Types of Brachytherapy

There are three types of brachytherapy:

  • High-dose rate (HDR) implants

HDR implants are inserted into the body and left in for brief sessions of 5-20 minutes before being taken out. These sessions can occur multiple times a day over a period of weeks, depending on the type of cancer being treated and the patient’s overall health. This is typically an outpatient procedure.

Radiation Risks:

HDR procedures are typically performed in a radiation therapy vault. No visitors are allowed during the treatment. Because HDR implants are temporary, a person receiving this therapy will not give off radiation once the implant is removed. Therefore, it is unnecessary for family members or visitors to take precautions after treatment.

  • Low-dose rate (LDR) implants

LDR sources are surgically implanted within or next to a tumor, where they remain in the body for 1-7 days. This procedure usually involves a hospital stay. When the treatment is finished, the doctor removes the radiation source and the catheter/applicator used to insert it.

Radiation Risks:

Radiation exposure risk to others is low with LDR implants. However, depending on the source used, radiation rates around the patient can be elevated while the source is in place. Because of this, in some cases, it is recommended that patients:

  • Limit the number of visitors during treatment
  • Limit the time spent with visitors during or between treatments
  • Limit time spent with children and pregnant women

Permanent brachytherapy is another type of LDR brachytherapy that involves inserting a needle filled with radioactive seeds into the tumor, with the help of an ultrasound or CT. These seeds are often made of metal, are roughly the size of a grain of rice, and contain radiation sources (iodine, palladium, cesium, or iridium).

The implants remain in the body permanently, however, the radiation they emit decreases over time. Eventually, almost all the radiation will go away. This type of brachytherapy is most commonly used for the treatment of prostate cancer.

Radiation Risks:

With this type of procedure, the radioactive source is not removed at the end of treatment. Therefore, it is important to initially limit time spent with pregnant women due to the low doses of radiation being emitted from the area being treated. Even after the implants have been in place for a long time, people with permanent implants can set off airport radiation sensors.

Radiation Protection

Modern brachytherapy techniques have largely eliminated the initial radiation exposure dangers that existed several decades ago. Most radioactive sources used for brachytherapy either incorporate a metallic shield within the applicator or use an isotope that emits low-energy photons that are shielded by the patient. Radiation does not travel far outside the treatment area, which means the chance of exposure to others is low.

However, there are recommended radiation safety precautions for both patients and medical professionals during a brachytherapy treatment. These may vary depending on the source and activity used for an individual implant.

  • HDR brachytherapy treatments are performed in a radiation therapy vault. The patient remains in the treatment room alone while the source is outside of its shielded housing to limit exposure to staff and members of the public.  
  • If visitors are allowed during the course of a temporary LDR treatment, they should spend no more than 30 minutes with the patient.
  • All implants are tested and sealed before they are implanted to ensure that the radioactive material inside of them does not leak. Their placement inside the body is also unlikely to change or move.

Side Effects of Brachytherapy

Because healthy tissue and organs surrounding the tumor are not as affected by the radiation treatment, most people experience fewer and less severe side effects than occur with external beam therapy.

In addition to tenderness, bleeding, or swelling in the treatment area, the side effects a patient could experience depend largely on the type of cancer and therapy being performed. Fatigue is common.

The side effects usually go away a few days after the treatment has ended. Ask your doctor or treatment team for more information on the types of side effects you may experience.

01 Jun 2022
Patient Wearing Head Coil During MRI Scan In Hospital

Diagnostic Medical Physics in Medicine: Why It’s Important

Many are unfamiliar with the important role that diagnostic medical physics plays in medicine, particularly in the diagnosis and treatment of diseases like cancer.

At Versant Physics, we provide a wide range of diagnostic medical physics services that help healthcare facilities safely and effectively execute procedures for the health and well-being of their patients. Our goal is to help facilities ensure their patients are protected from excessive levels of radiation and that diagnostic equipment is working appropriately, all while maintaining compliance with state and federal regulations.

In this blog post, we’ll break down what diagnostic imaging is, how and why physics principles are applied to diagnostic medicine, and the various roles of a diagnostic medical physicist to help clarify the importance of this profession.

What is Diagnostic Imaging?

Diagnostic Imaging is a range of techniques and equipment used to look inside the body. The purpose of this is to help physicians identify injuries and illnesses, and to help make an accurate diagnosis and treatment plan. This can include a variety of procedures, from simple X-rays for broken bones to more complex procedures involving the brain, heart, or lungs.

Diagnostic imaging procedures are usually painless and noninvasive. However, depending on the test being performed, some patients may be exposed to small amounts of radiation.

diagnostic medical physics

CT scans are a common example of a diagnostic imaging test that emits radiation. In a CT scan, the patient is exposed to a series of X-rays from a variety of angles which are then processed via a computer. The computer creates cross-sectional images of the inside of the body. CT scans are higher-quality images than a normal X-ray and allow physicians to view both hard and soft tissues in the body. They can check for stroke, internal bleeding, chest abnormalities, enlarged lymph nodes, abdominal or pelvic pain, tumors, and more. It is also used to monitor existing diseases such as heart disease and cancer. 

Other common diagnostic imaging procedures include mammography, which helps detect and diagnose breast cancer, fluoroscopy, magnetic resonance imaging (MRI), and ultrasounds.  

Diagnostic Physics and Medicine

Medical physics as a field is divided into five categories, including:

  • nuclear medicine
  • therapeutic medical physics,
  • medical health physics,
  • magnetic resonance imaging physics, and
  • diagnostic imaging.

Diagnostic medical physicists are responsible for ensuring the safe and effective application of radiation used in medical treatments. Specifically, radiology procedures. They work as a member of a patient’s care team, which typically includes physicians, dosimetrists, and radiologic technologists among others.

Equipment Evaluation and Compliance

One of the main roles of a diagnostic medical physicist is to ensure the safe operation of radiation-producing machines and diagnostic radiation detectors. This can include developing imaging equipment specifications, measuring the radiation produced by a piece of equipment prior to clinical use, and proving that the equipment is compliant with regulatory and accreditation requirements.

This also includes assessing all the software, algorithms, data, and computer systems associated with the radiation-producing equipment for accuracy and performance.

Acceptance Testing

Any unit that is used in a diagnostic setting must be periodically reviewed to ensure not only that the image quality is maintained, but that the unit is operating in compliance with the manufacturer’s specifications.

Most states require that a newly installed piece of diagnostic imaging equipment, whether it is brand new or used, be tested by a qualified medical physicist prior to first clinical use. This extremely thorough survey confirms that the unit was installed and set up correctly and ensures that it meets vendor and industry performance standards. It is also an opportunity to identify any potential issues with the unit before it is used on patients.

mammography unit

Typical units that require acceptance testing include fluoroscopic x-rays, radiographic x-rays, PET and PET/CT units, mammography equipment, C-arms, CTs, SPECT cameras, and PACS workstations.

Commissioning

The commissioning process for diagnostic radiation therapy machines such as Linear Accelerators involves testing the unit’s functionality and verifying that dose calculation algorithms work appropriately to produce measured dose calculations.  

Radiation-producing equipment like a LINAC is highly technical and specific. There are many requirements and protocols that detail how this unit should work, from how much energy it produces to the shape and direction of the beam. Diagnostic medical physicists are trained to measure, assess, and implement the optimal baseline values for a unit during the commissioning process.

Patient safety is the end goal of all diagnostic physics commissioning work.

Shielding

Another important aspect of diagnostic physics includes the planning and placement of shielding in areas that use radiation. In the United States, 35+ states require specific shielding designs in any room that houses radiation-producing equipment.

A diagnostic medical physicist can evaluate any shielding that is installed to determine if it will adequately protect workers, patients, and the public from the radiation outside of the scope of a specific treatment. This includes planning for material thickness as well as appropriate placement.

Versant Physics physicists are experienced with a range of equipment shielding requirements, including dental units, Cone-beam CTs, mobile c-arms, high-energy LINACS, Proton Therapy units, and Cyclotrons.

Our team is also experienced with different types of shielding materials, including non-lead materials, which are guaranteed to meet regulatory guidelines and ALARA principles.

Patient Dose & Treatment

Part of a diagnostic physicist’s job is also to ensure the safety of medical imaging modalities being applied in the treatment of individual patients.

They are responsible for determining the exact radiation dose a patient will receive in accordance with the radiation oncologist’s prescription before the patient begins treatment. Creating this therapy plan can take a few hours or multiple days, depending on the complexity of the illness. They also ensure radiation protection guidelines are in place, develop QA tools that ensure optimal image quality, and make sure that all operators are trained in the use of the best imaging techniques.

A diagnostic medical physicist may also monitor the dose of the patient throughout the course of their treatment.

Patients rarely interact directly with the medical physicist on their care team; however, they are a vital part of a safe and effective treatment process.

Versant Physics Diagnostic Support

Our board-certified physicists are able to handle diagnostic physics support for a variety of facilities, including hospitals, clinics, dental offices, and university health systems. With decades of experience, top-of-the-line equipment, and a passion for patient safety, our team is the best choice to assist with your diagnostic medical physics needs.

Contact us for a quote or to learn more about our medical physics support services.