1. Practitioners and operators must have successfully completed training, including theoretical knowledge and practical experience, in—
(a)such of the subjects detailed in Table 1 as are relevant to their functions as practitioner or operator; and
(b)such of the subjects detailed in Table 2 as are relevant to their specific area of practice.
| Fundamental Physics of Radiation | |
|---|---|
| Properties of Radiation | Excitation and ionisation |
| Attenuation of ionising radiation | |
| Scattering and absorption | |
| Radiation Hazards and Dosimetry | Biological effects of radiation – stochastic and deterministic |
| Risks and benefits of radiation | |
| Absorbed dose, equivalent dose, effective dose, other dose indicators and their units | |
| Management and Radiation Protection of the individual being exposed | |
| Special Attention Areas | Pregnancy and potential pregnancy |
| Asymptomatic individuals | |
| Breastfeeding | |
| Infants and children | |
| Medical and biomedical research | |
| Health screening | |
| Non-medical imaging | |
| Carers and comforters | |
| High dose techniques | |
| Justification | Justification of the individual exposure |
| Use of existing appropriate radiological information | |
| Alternative techniques | |
| Radiation Protection | Diagnostic reference levels |
| Dose constraints | |
| Dose optimisation | |
| Dose reduction devices and techniques | |
| Dose recording and dose audit | |
| General radiation protection | |
| Quality assurance and quality control including routine inspection and testing of equipment | |
| Risk communication | |
| Use of radiation protection devices | |
| Statutory Requirements and Non-Statutory Regulations | |
| Regulations | |
| Non-statutory guidance | |
| Local procedures and protocols | |
| Individual responsibilities relating to exposures | |
| Responsibility for radiation safety | |
| Clinical audit | |
| All Modalities | |
|---|---|
| General | Fundamentals of radiological anatomy |
| Factors affecting radiation dose | |
| Dosimetry | |
| Fundamentals of clinical evaluation | |
| Identification of the individual being exposed | |
| Diagnostic radiology | |
| General | Principles of radiological techniques |
| Production of X-rays | |
| Equipment selection and use | |
| Specialised Techniques | Computed Tomography: advanced applications |
| Interventional procedures | |
| Cone Beam Computed Tomography | |
| Hybrid imaging | |
| Fundamentals of Image Acquisition etc. | Optimisation of image quality and radiation dose |
| Image formats, acquisition, processing, display and storage | |
| Contrast Media | Use and preparation |
| Contraindications | |
| Use of contrast injection systems | |
| Radiotherapy | |
| General | Production of ionising radiation |
| Treatment of malignant disease | |
| Treatment of benign disease | |
| Principles of external beam radiotherapy | |
| Principles of brachytherapy | |
| Specialised Techniques | Intra-operative radiotherapy |
| Stereotactic radiotherapy and radiosurgery | |
| Stereotactic ablative radiotherapy | |
| Proton therapy | |
| MR Linac therapy | |
| Radiobiological Aspects for Radiotherapy | Fractionation |
| Dose rate | |
| Radiosensitisation | |
| Target volumes | |
| Practical Aspects for Radiotherapy | Localisation equipment selection |
| Therapy equipment selection | |
| Verification techniques including on-treatment imaging | |
| Treatment planning systems | |
| Radiation Protection Specific to Radiotherapy | Side effects – early and late |
| Toxicity | |
| Assessment of efficacy | |
| Nuclear Medicine | |
| General | Atomic structure and radioactivity |
| Radioactive decay | |
| Principles of molecular imaging and non-imaging exposures | |
| Principles of molecular radiotherapy | |
| Molecular Radiotherapy | Dose rate |
| Fractionation | |
| Radiobiology aspects | |
| Radiosensitisation | |
| Specialised Techniques | Quantative imaging – advanced applications |
| Hybrid imaging – advanced applications | |
| Selective Internal Radiation Therapy | |
| Principles of Radiation Detection, Instrumentation and Equipment | Types of detection systems |
| Optimisation of image quality and radiation dose | |
| Image acquisition, artefacts, processing, display and storage | |
| Radiopharmaceuticals | Calibration |
| Working practices in the radiopharmacy | |
| Preparation of individual doses | |
| Radiation Protection Specific to Nuclear Medicine | Conception, pregnancy and breastfeeding |
| Arrangements for radioactive individuals | |