TABLE 1.

Regulations and supporting references for implementation of an HDR brachytherapy program

Regulations	References	Topics covered
RAM licensing	10 CFR § 30 10 CFR § 33	The process by which an organization or individual may receive a license entitling them to receive, possess, use, transfer, or deliver RAM
Personnel monitoring	10 CFR § 20 IAEA safety standards no. GSR Part 3 8 NCRP report no. 116 9	Standards of protection for the public against exposure to radiation and the limits of exposure for radiation workers
Shielding	NCRP report no. 49 5 IPEM report 75 10 IAEA safety report series 47 11	Guidance on shielding design
Security	10 CFR § 37	Specifies the requirements for physical protection of large quantities of radioactive material
	10 CFR § 20.1801 IAEA nuclear security series no. 11‐G 12	Specifies security of stored materials
	10 CFR §35.610	Specifies security of HDR hardware and computers
Transportation and handling	49 CFR § 173 IAEA safety standards no. SSR‐6 (Rev. 1) 13	General transportation requirements for RAM
	10 CFR § 71	Packaging, shipment, and transport of RAM
	10 CFR § 20.1906	Receiving and opening of RAM
	49 CFR § 172	Receiving or packaging RAM
Records	10 CFR § 30.51 10 CFR § 40.61	Receipt, inventory, acquisition, transfer, and disposal
Periodic spot checks	10 CFR § 35.643 ICRP publication 97 14	Periodic spot checks for remote afterloader units
Training	10 CFR § 19 ICRP publication 97	Notices, instructions, and reports by licensees and regulated entities to RAM workers
Patient treatment	10 CFR § 35.615	AMP presence during treatment
	10 CFR § 35.604	Radiation surveys
	10 CFR § 35.610 ICRP publication 97	Emergency Procedures

Abbreviations: AMP, authorized medical physicist; CFR, code of federal regulations; IAEA, International Atomic Energy Agency; ICRP, International Commission on Radiological Protection; IPEM, Institute of Physics and Engineering in Medicine; NCRP, National Council on Radiation Protection and Measurements; RAM, radioactive material.