Constructible Modular Radiation Shielding for Proton Facility Construction Experience Veritas Proton Facility Shielding represents the culmination of years of radiation shielding and healthcare facility design by Veritas personnel. With expertise in all aspects of high-energy particle treatment room shielding and construction, we are uniquely qualified to innovate proton shielding and its breakthrough technology. In-house Ve ritas services include physics, engineering and architectural support, project management, manufacturing and installation services. A Proven Alternative to Mass-Concrete Construction Veritas is the world leader in radiation shielding, radiation protective door systems, modular room interiors and pre-packaged foundation kits - all designed for producing Radiation Protected C e n t e rs of Excellence. Documented Effectiveness Fully-Vetted Engineering veritas-medicalsolutions.com 100% Guaranteed Attenuation Increased Speed of Construction Pre-Engineered Package Medical Solutions 160 Cassell Road, Harleysville, PA 19438 USA 484-991-8928 888-242-6760 Fax: 484-991-8521 www.Veritas-MedicalSolutions.com Ve ritas has developed a pre-engineered, modular package that replaces concrete in the construction of proton facilities. Incorporating proven Veritas materials - Replace Mass-Concrete Construction with a Turnkey Shielding Package that Provides Single Source Responsibility shielding, door and interior finish systems, Veritas provides a fully-shielded facility that can be constructed 300% faster than using concrete. Lab-tested and proven in a wide range of applications,Ve ritas Modular Proton Facilities are a proven alternative to timeconsuming mass-concrete construction. Dry-stacked VeriShieldTM Modules feature a patentpending sine-wave design to provide enhanced attenuation levels. No other shielding method provides the blend of protection, convenience and affordability of VeriShield. Proven Modular Shielding VeriShieldTM is the world’s premier modular shielding, having proven its effectiveness in radiation shielding applications around the globe. Its unique features and proprietary blend of high-Z aggregates makes ultra-high density VeriShield the perfect alternative to concrete or other modular shielding materials. Providing unmatched neutron, photon and particle attenuation, VeriShield can be incorporated into proton facilities to provide 100% GUARANTEED shielding along with significant space and time savings. Perfect for Rapid Proton Facility Construction Designed to dramatically reduce the time to construct radiationshielded rooms,Veritas has engineered VPACTM, a new preassembled shielding unit that combines individual VeriShield blocks into a single structural element. The VPACs interlock to form a solid homogeneous shielding structure, and retain the inherent radiation attenuation and physical characteristics of the individual VeriShieldTM modules. VPACs are quickly craned onto prepared foundations, greatly simplifying and speeding the overall construction process. TM Fully-Vetted Engineering and Physics Veritas offers single-source responsibility for physics, architectural support, construction management and structural engineering. In-house physics capabilities provide the assurance of optimum shielding design and functionality, along with a 100% guarantee of shielding effectiveness and integrity. Using standard construction techniques,Veritas has engineered a shielding system that can be quickly installed while maintaining structural strength and the critical tolerances required for the varying equipment installations. The engineered shielding system incorporates pre-assembled VPACs, pre-cast elements and individual VeriShield modules, all designed for maximum shielding effectiveness and installation efficiency. Each Veritas proton facility is a pre-engineered turnkey package, fully designed for specific equipment, not a conglomerate of individual parts. Structural details of all construction elements are fully designed and adapted to individual site conditions as part of the comprehensive engineering package. Install over 350 VeriShield blocks per lift. Simplified installation process - Craned and placed into position using a minimal-sized crew. No manual handling of individual blocks - No curing time - Ready immediately for the next stage of construction. Integrated bond beams and other structural elements. Turnkey Veritas packages are available for all sizes and types of proton facilities. Included are physics, engineering, architectural and structural design services. Veritas Proton Facilities feature significantly reduced loads compared to concrete. This simplifies foundation and site preparation, and is beneficial when building in high water table areas. Design packages are configured for specific proton facility concepts. Maximize Savings and Efficiencies Using Methods and Materials Proven in Linac Construction Around the World Proven Constructible Modular Masonry Structures have been proven for years. 158’ 30’ Maximum Height of High Density Shielding There is no question that modular masonry construction can be utilized in proton facilities to replace massive amounts of concrete shielding.The ability to mobilize and install large quantities of individual Ve riShield blocks (compara ble to that required by a typical proton facility) has been proven in multi-room projects such as an 8 room complex constructed in Dublin, Ireland. Typical working heights of 17’ represent more than half the required height of a proton facility. The construction of additional proton shielding height poses no problem through the utilization of VPAC units which are craned into position and require minimal scaffolding. Additional Height Necessary with Proton Facility Shielding Working Area Height of Typical Linac Shielding Ground Level Area of Normal Concrete Linac Section 1 Proton Section 1 Transmission curves VeriShield V1,V2,V3 and concrete. Proven Attenuation To assess the viability of using VeriShield modules in the construction and shielding of proton thera py facilities, the neutron attenuation of a range of Ve riShield compositions has been tested.The testing was performed using a 230 MeV proton synchrotron at the MIT Bates laboratory. Shielding barri e rs made of varying compositions and laye rings of materials were tested. The results show that VeriShield provides superior attenuation when compared to concrete.The results also suggest that shielding thicknesses can be reduced through a suitable choice of material layering.The s u p e rior attenuation and laye ring possibilities offered by VeriShield allow the wall thicknesses and overall footprint of proton shielding to be significantly reduced.The positive results of this testing allow the construction of the world's first direct-entry door system for shielded proton rooms. 200 MeV 230 MeV Proven Construction Speed Carefully engineered shielding designs, incorporating varying layers and types of VeriShield modules, provide 100% guaranteed attenuation in a space-saving package. Typical concrete proton facilities require more than two million lbs. of rebar - massive formwork - on-site QA testing - and approx. 17,500 cubic yards of concrete (or 1,936 time-sensitive concrete truck deliveries). In addition, 350,000 cubic feet of earth must be excavated for foundations - more than 14,000 truckloads.This can equate to years of construction. Ve ritas can cut this time to months. High-density modules and efficient designs result in thinner shielding thicknesses with a corresponding reduction in ove rall loads and foundation requirements. Rebar, extensive excavations and thousands of truckloads of materials are eliminated. Ve riShield materials are unloaded and placed as soon as they arrive on site and can be scheduled as needed since the shielding is not a critical path element. A proton facility requiring approx. 700,000 individual Ve riShield modules can be constructed in 10-16 weeks. Timeline for Typical Five Room Facility Approx. 10-16 weeks Approx. 5-7 weeks Physics Design Engineering Cut Months off the Construction Schedule with a Pre-Engineered Packaged System Site Preparation Client Responsibility Not part of Veritas Scope of Work. Delivery - Installation Approx. 5-8 weeks Door Installation Interiors Installation Removal/Reinstallation of roof shielding for machine installation scheduled when appropriate. Installation speed can be greatly increased through the use of pre-assembled VPAC units and just-in-time delivery schedules. Build 300% Faster and more than 30% Smaller Eliminate Inefficient Maze Entry Simplify Design and Construction by Using a Modular System that Includes Physics and Fully-Vetted Engineering Space Savings Typical Sequence of events A broad outline of the sequence of events and interactions between Veritas, the equipment supplier and the facility project team as it applies to the rigging, installation, assembly and testing aspects of a Veritas Five Room Proton Facility package. Schedule Design Development - Approximately 5-7 weeks from initial authorization to proceed and contract execution. Design development will include structural design of vaults walls, ceiling support systems, physics design of complete proton facility and related radiation rooms directly related to the cyclotron and particle delivery system. Material Procurement and Manufacturing - The procurement and manufacturing phase will take approximately 10 weeks to complete material manufacturing. Manufacturing of doors and dri ve systems require 14 weeks of production time plus 2 weeks of testing and inspection, c o n c u rrent with materials manufacturing. Site Mobilization and Shipping - may overlap production by 4 weeks. Site installation can begin as early as 8 weeks after authorization to commence design work. This assumes site readiness and adequate site storage is available. Installation/Construction - actual onsite installation start will be governed by design, construction and curing of footings/foundations. Installation/construction will typically take 10-16 weeks to complete construction of major shielding. Typical Material Quantities Veritas estimates the shielding will consist of approximately 750,000 VeriShield block modules, 200 tons of steel and related support structure,6 Direct Entry Doors , in addition to steel reinforcing bar, onsite mortar and grout and other related construction materials. Procurement and Manufacturing Production Veritas generally has approximately 20-40% of the material that would be needed based on the above estimates to complete the procurement production phase. Additional quantities would be produced by dedicated production at the rate of 70,000 units per week. Same Interior Room Sizes Product Marking, Identification and Storage - All materials produced would be clearly delineated and tagged at the Veritas Facilities at the moment the product is produced for the client. All materials are available for inspection at any time given 24 hours advance notice. Materials may be delivered to the site as produced if site can accommodate continuous shipments, or can be stored at Veritas facilities at no additional charge unless the project becomes excessively delayed at which point storage handling costs may be incurred Typical Veritas Responsibilty Matrix Veritas shall provide drawings and other materials to verify required and minimum dimensions and other equipment vendor specified requirements.The matrix provides a guideline showing Veritas responsibilities throughout a typical proton facility construction project. Item Client Veritas Designate a primary contact to coordinate all communications and interactions during planning, construction and installation phases. X X Provide current and accurate schedule information X X Calculation and design for radiation shielding in compliance with all local, state and federal requirements for patient and employee safety, and environmental protection. X Provide detailed space requirements - Vault layout and required dimensions - Equipment locations - Workspaces - Installation and maintenance access X Architectural drawings for the facility, including staging and installation path layouts. X Conformance review of architectural base plan against equiment supplier requirements. X X Development of design and construction drawings. X X Review all shop and coordination drawings for mechanical, electrical and plumbing. X X Conformance review of construction plan against equipment supplier requirements. X Execute all aspects of shielding construction. - Walls, floors, ceilings, access hatch - Defined and clear rigging path - Secure storage for tools and equipment - Operational, tested, certified crane equip. X Positioning and installation of embeds during construction. X Provision and installation of anchors for equipment attachment and for all temporary attachments and fixtures for rigging and installation. X Provision of all shielding equipment and services. X Oversight of shielding rigging and placement operations. X Closing and filling access hatch after equipment rigging. X Provision of design requirements for the dismountable panel wall systems in treatment room. X Provision and installation of the treatment room side wall frames and dismountable wall panels. X Provision and completion of ceiling, lighting and ventilation in the ceiling of the treatment room after system preliminary testing. X Provision and installation of all casework. X Provision of all equipment necessary for Veritas shielding verification tests. X Eliminate Entry Mazes - Save Space and Reduce Costs Direct-Entry Proton Doors Turnkey Interior Packages Ve ritas Shielded Doors have set the standard for radiation-protective entry doors.Their innovation and performance is unmatched in the industry. Now, with the development of a unique bi-parting door system,Ve ritas can offer the world’s first direct entry proton door system. As an additional service,Veritas manufactures and provides a complete room interior finish package that includes everything needed to complete a room (except m a c h i n e and machine-related utilities, systems and software). Designed to meet client requirements and specific to individual equipment, each Veritas interior includes: - Unique Veritas Modular Wall Panel System - removable panel system providing design flexibility and access to services located behind the walls - Audio/CCTV hookups - Ceiling and Flooring Systems - Finish Hardware - Lighting and Electrical - Casework, Sinks and Storage - Graphics and Ceiling treatments The exceptional attenuation properties of Ve riShield allow the construction of a door system that can replace the need for thick, space-consuming maze entry. Veritas Shielded Doors simplify the room layout and minimize overall space requirements. O p e rated by an advanced electro-magnetic linear dri ve and computer interface, the Ve ritas Bi-Parting Door System is maintenance-free and provides reliabl e, problem-free operation. Redundant safety systems ensure personnel safety and, in the event of a power failure or other system m a lfunction, the system allows the door to be opened manually without fear of dri ve damage or the entrapment of personnel within the room. Veritas offers a variety of door configurations for proton facilities that can be designed to meet project requirements.They include dual swing doors, single sliding door, bi-parting sliding doors and a unique rotational entryway specifically designed for incorporation into very thick concrete walls. Reliable, Trouble-Free Operation Protective safety doors, located both inside and outside the room, feature your choice of finishes and/or graphic image. These optional safety doors are independent of the shielded doors and prevent access during door movement. The World’s first bi-parting direct entry proton door system has been installed at Tennessee’s first proton treatment facility,The Provision Center for Proton Therapy, a 90,000-square-foot facility with five treatment rooms. These systems will allow the entire look of the room to be changed and easily updated year to year or as frequently as desired, maintaining virtually dust free conditions. A comprehensive pre-engineered solution,Veritas interiors deliver a modular room design package that can cover every inch of your facility. Complete Your Rooms with Designer-Quality Interiors, In Half the Time of StickBuilt Room Finishes We created a unique modular wall panel system which allows quick, cost-effective installation; convenient access to electrical wiring and other elements housed behind your walls; and the ability to easily make adjustments to your room setup. Radiation Protection Guidance Proven Shielding Effectiveness The Ve ritas shielding package incorporates unique radiation shielding to attenuate the high and low energy neutrons associated with proton therapy. In-House Veritas Physics Design and Review Veritas Testing Program The VeriShieldTM family of modular shielding materials has seen extensive use in shielding medical linear accelerator rooms, most commonly in the form of VeriShield V-250 and VeriShield V-300 modules.To confirm the viability of using VeriShield modules in the construction and shielding of proton therapy facilities, the neutron attenuation of a range of VeriShield compositions has been tested.The tests were performed using a proton synchrotron at the MIT Bates laboratory at beam energies up to 230 MeV. Shielding barriers made of varying compositions and layerings of VeriShield were tested, as well as standard density concrete. Outperforms Concrete Designed for Effectiveness and Efficiency VeriShield Proton shielding designs are based on the Veritas testing profram and use these typical parameters: • Workload (W): 40,000 cGy/wk (2 x 106 rad/yr). • Permissible dose (P): Public: 20 uSv/wk (2 mR/wk), Controlled 100 uSv/wk (10 mR/wk) • The Neutron Dose Yield (Y): 0.06% REM m2/proton rad (6 x 10-4 REM m2/rad). • The Utilization factor (U): 1/4 for straight down, 1/4 for straight up, 1/2 towards Far/Outside Wall. • The Occupancy factor outside the barrier (T): Depends on location. VeriShield modules come in 2.5" or 5" block sizes so barrier thicknesses are rounded up to the nearest 2.5" increment. Comparison of typical concrete thicknesses with Verishield barrier thicknesses for the walls and ceiling of a typical proton treatment vault are given in Table 1. Transmission curves VeriShield V1,V2,V3 and concrete. Results demonstrate that VeriShield provides superior attenuation when compared to concrete, and also that shielding thicknesses can be reduced through a layering of different VeriShield materials. The superior attenuation and layering possibilities offered by VeriShield a l l ow the wall thicknesses and overall footprint of proton shielding to be signifcantly reduced. Testing has shown that the neutron attenuation performance of different shielding materials depends on their relative position within the shielding barrier.This is a result of the neutron energy spectrum being differently attenuated as a function of both materi al thickness and composition. Based upon these results, the design option exists to position the shielding barriers and optimize the choice of materials so as to improve the overall attenuation for a given total shielding thickness. 200 MeV The Veritas shielding design can employ different VeriShield materials positioned to ensure that each material preferentially attenuates the neutron energies present at that depth within the barrier.The result is a shielding barrier that provides the necessary attenuation but with a thickness that is much less than the equivalent concrete barrier. Comparison to concrete Tests confirm that VeriShield provides greater attenuation than that provided by the same thickness of concrete for a range of energies.VeriShield out-performed concrete most significantly for barrier thicknesses over 30" and for beam energies around 200 MeV.This energy range coincides with the typical therapeutic range employed in proton therapy.Testing confirms that proton center shielding constructed from VeriShield will require thinner barriers compared to concrete. 230 MeV Rather than designing all barriers to full occupancy controlled, a more realistic design takes into account the occupancy and permissible dose limits of the areas around the room.The following thicknesses would be appropriate for a vault with low occupancy outdoor space beyond the Outdoor Wall and Ceiling. Constructible Modular Radiation Shielding for Proton Facility Construction Experience Veritas Proton Facility Shielding represents the culmination of years of radiation shielding and healthcare facility design by Veritas personnel. With expertise in all aspects of high-energy particle treatment room shielding and construction, we are uniquely qualified to innovate proton shielding and its breakthrough technology. In-house Ve ritas services include physics, engineering and architectural support, project management, manufacturing and installation services. A Proven Alternative to Mass-Concrete Construction Veritas is the world leader in radiation shielding, radiation protective door systems, modular room interiors and pre-packaged foundation kits - all designed for producing Radiation Protected C e n t e rs of Excellence. Documented Effectiveness Fully-Vetted Engineering veritas-medicalsolutions.com 100% Guaranteed Attenuation Increased Speed of Construction Pre-Engineered Package Medical Solutions 160 Cassell Road, Harleysville, PA 19438 USA 484-991-8928 888-242-6760 Fax: 484-991-8521 www.Veritas-MedicalSolutions.com