Clinical Imaging Centers: The Role of State Radiation Control Programs

Abstract

Radiation protection is mandated in all 50 states. Regulatory control over naturally occurring and accelerator produced radioactive materials use is exclusively by state government. Although states are independent bodies there are many similarities in their regulatory approaches. Differences in the degree of regulatory control are minimized through use of the Suggested State Regulations for the Control of Radiation and other guidance documents provided by the Conference of Radiation Control Program Directors, Inc. This paper discusses the general requirements for obtaining a license and/or registration to either produce radioactive material in an accelerator, or elute radioactive material from a generator and use that radionuclide to prepare imaging agents for use in an imaging clinic. These general requirements include minimum standards for training and experience of all principal users, equipment specifications, facilities design and construction, specific operating and emergency procedures, radiation protection surveys and monitoring of personnel exposures, ongoing training of staff, and a commitment to ALARA (the philosophy of keeping radiation exposures As Low As Reasonably Achievable). The nature of routine inspections conducted by state Radiation Control Programs to ensure adequate protection of workers and the public is also explained.