Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 120.000 - The Control of Radiation
MANUAL BRACHYTHERAPY
Section 120.564A - Strontium-90 Sources for Ophthalmic Treatments
Universal Citation: 105 CMR 120.000 MA Code of Regs 120.564A
Current through Register 1531, September 27, 2024
(A) Licensees who use strontium-90 for ophthalmic treatments must ensure that certain activities as specified in 105 CMR 120.564A(B) are performed by either:
(1)
An authorized medical physicist; or
(2) An individual who:
(a) is identified as an ophthalmic physicist
on a specific medical use license issued by the Agency, Nuclear Regulatory
Commission or an Agreement State; permit issued by the Agency, Nuclear
Regulatory Commission or Agreement State broad scope medical use licensee;
medical use permit issued by a Nuclear Regulatory Commission master material
licensee; or permit issued by a Nuclear Regulatory Commission master material
licensee broad scope medical use permittee; and
(b) holds a master's or doctor's degree in
physics, medical physics, other physical sciences, engineering, or applied
mathematics from an accredited college or university; and
(c) has successfully completed one year of
full-time training in medical physics and an additional year of full-time work
experience under the supervision of a medical physicist; and
(d) Has documented training in:
1. The creation, modification, and completion
of written directives;
2.
Procedures for administrations requiring a written directive; and
3. Performing the calibration measurements of
brachytherapy sources as detailed in
105 CMR
120.564.
(B) The individuals who are identified in 105 CMR 120.564A(A) must:
(1)
Calculate the activity of each strontium-90 source that is used to determine
the treatment times for ophthalmic treatments. The decay must be based on the
activity determined under
105 CMR
120.564; and
(2) Assist the licensee in developing,
implementing, and maintaining written procedures to provide high confidence
that the administration is in accordance with the written directive. These
procedures must include the frequencies that the individual meeting the
requirements in 105 CMR 120.564A(A) will observe treatments, review the
treatment methodology, calculate treatment time for the prescribed dose, and
review records to verify that the administrations were in accordance with the
written directives.
(C) Licensees must retain a record of the activity of each strontium-90 source in accordance with 105 CMR 592(C).
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