Medical Imaging Radiation Shielding Calculator
Published: Aug 09, 2026
Source: Ionactive Radiation Protection Resource
Prelim
Medical imaging & nuclear medicine facilities require different levels of structural radiation shielding depending on the equipment or radioactive source, workload, room geometry and occupancy of surrounding areas. In some respects this can make shielding design more varied than facilities using a single fixed radiation source (such as a medical linac). This Ionactive calculator provides a practical way to explore shielding requirements for general radiography, fluoroscopy, interventional procedures, mammography, dedicated chest radiography, combined radiographic and fluoroscopic rooms, CT, mobile C-arm fluoroscopy, dental CBCT and PET/CT (F-18).
For diagnostic X-ray modalities the calculation methods are based principally on NCRP Report No. 147, supplemented by selected British Institute of Radiology (BIR) methods and published diagnostic-shielding data. For nuclear medicine, F-18 PET/PET-CT requires a different approach because the radioactive patient becomes the radiation source (who moves around the facility). The PET calculation uses published PET shielding methodology (e.g. TG-108), radioactive decay and declared patient-source geometry (PET/CT, Uptake Room, Hot WC etc).
The calculator allows site specific workloads, distances, occupancy factors, design goals, existing barriers and shielding materials to be considered. Published examples and Ionactive worked examples are included where useful so that the calculation method can be examined and checked.
The calculator is intended as a design, assessment and educational aid. Final shielding specifications should be reviewed in the context of the actual installation, and by a suitably qualified Radiation Protection Adviser (RPA).
Note: if you are only interested in the instantaneous dose rate (IDR) of an X-ray beam of a given kVp through shielding, then you may wish to explore a simpler calculator here: Diagnostic X-ray Shielding / Transmission Calculator (this calculator cannot be used alone to design shielding for a medical imaging facility).
Ionactive Medical Imaging Radiation Shielding Calculator
Structural radiation shielding estimates for medical imaging using recognised NCRP 147, BIR and selected PET shielding methods.
Imaging modality
Select the imaging modality to be assessed. The calculator will display the shielding inputs and calculation method appropriate to that modality.
Projects and saved calculations optional
A project keeps several independent calculations for one imaging modality together. Saved calculations are not added or combined with each other.
Projects are stored locally in this browser on this device. Ionactive does not receive or store the project data. Local browser storage is a convenience rather than a permanent record; use Export Project to create a portable JSON backup for work you need to retain or move to another browser/device.
1. F-18 protocol and patient-source basis
2. Worked calculation examples
Published examples reproduce selected literature shielding scenarios. Ionactive worked examples demonstrate particular calculator features or geometry concepts. Once loaded, all inputs remain editable so the example can be explored or adapted.
3. Assessment point and target barrier
4. Source or sources relevant to this barrier
Start with one source. Source 1 is the normal case and is assumed to pass through the selected target barrier. Add another only when the real geometry requires it. An additional source may also pass through the target barrier, or may reach the assessment point by a different path that does not cross the target barrier. Radiation reaching the assessment point by another path cannot be reduced by increasing the shielding of the selected target barrier. It therefore remains as a residual contribution at the assessment point and, in some cases, can prevent the selected weekly or instantaneous-rate criterion from being achieved by the target barrier alone. The source type supplies editable starting values; it does not define the facility layout.
5. Optional CT contribution through this same target barrier
Use this only when the CT component irradiates the same physical target barrier being assessed above. The CT source is independent of the radioactive patient source. The total CT workload should include the PET/CT acquisition workload and, where applicable, additional diagnostic CT-only use of the scanner.
6. Design criteria
7. Concrete density for shielding comparison
8. Existing shielding in the target barrier / top-up
Use this section only when the selected target barrier itself already contains shielding before any new material is added. This is deliberately separate from an intermediate barrier earlier on the source path.
9. Results
Required target-barrier shielding
PET / CT / IDR material comparison
The combined weekly thickness is found numerically from PET after B511 + CT after BCT + other-path burden. The final design thickness is the larger of that combined-weekly requirement and the PET instantaneous-rate requirement.
| Material | PET weekly only | CT weekly only | Combined weekly | PET IDR | Final total required | Additional to add | Occupied weekly after final | PET rate after final | Governing |
|---|
| Source | Type | Relationship | Patients/wk | d (m) | Clinical start after admin (min) | Dwell / scan time (min) | Activity factor F | Intermediate shielding before target / shielding on alternative path | Pre-target / alternative-path transmission Bpath | Start activity (MBq) | Raw start rate (µGy/h) | Integrated quantity/patient (µGy) | Raw weekly burden (µGy/wk) | Weekly burden after Bpath (µGy/wk) |
|---|
How to read the final column: for a source that passes through the selected target barrier, this is the weekly burden reaching that barrier before target-barrier shielding is applied. For a source using another path, it is the burden already reaching the assessment point after any shielding declared on that alternative route.
10. Calculation verification checks
Show automatic calculation verification checks
These checks compare key source, transmission, path and combined PET/CT calculations against established reference values used to verify calculator behaviour.
Core shielding model
PET and CT are treated as independent radiation sources. Where both contribute through the same physical barrier, the calculator determines the shielding thickness required to satisfy the selected weekly air-kerma design goal. The PET instantaneous dose-rate criterion is assessed separately and may require additional shielding. Combined PET/CT calculations are available for lead and concrete; iron/steel calculations are currently limited to PET shielding.
Calculation derivation — full checking precision
Run or edit the calculation to display the numerical derivation.
Calculation inputs
This text does not affect the calculation. It is carried into the displayed and copied result so an individual barrier remains identifiable.
Selected-material result
All-material comparison
The same modality, barrier assessment, workload, geometry, design goal, equipment preshielding choice and existing structural barrier are applied to each proposed material.
| Proposed material | Total requirement | Equipment credit equivalent | Existing structural equivalent | Total credited equivalent | Additional calculated | Practical output | NCRP range / fit check |
|---|
Calculation derivation — full checking precision
Formal advice
If you need formal advice on calculating shielding requirements for medical diagnostic facilities, then head over to our Radiation Protection Adviser (RPA) services , or try our online radiation protection training courses for in-depth study of x-ray and gamma shielding materials and techniques.
Projects and saved calculations — new for V2.0
Whilst the calculator can still be used for a single one-off shielding calculation, the project functions are a useful optional extra.
For a larger shielding assessment, a project allows several independent calculations for the same imaging modality to be kept together.
For example, a project might contain separate calculations for:
- Wall W1;
- Wall W2;
- a ceiling;
- a floor;
- an adjacent corridor.
A nuclear medicine PET/PET-CT project might instead contain an uptake-room wall, scan-room wall, Hot WC assessment and other declared patient source locations.
Each saved calculation remains an independent shielding calculation. Calculations are not added or combined - they are just stored in the same project.
Where an individual calculation contains more than one radiation source or radiation path, those source contributions are combined only within that calculation according to the geometry declared by the user. A saved calculation can be reopened, edited, duplicated or deleted.
The Project Summary provides an overview of the results from all saved calculations so that different barriers or assessment points can be reviewed together.
The Project Summary represents the last saved version of each calculation. If the currently open calculation has unsaved changes, those changes are not written into the saved project or its summary (i.e save the current calculation to update the project summary).
Project storage and privacy
Projects are stored locally by the web browser on the device and browser profile being used. Nothing is stored by Ionactive.
Project names, calculation inputs and saved assessment data are not sent to or stored by Ionactive because a project feature is used.
Local browser storage is intended as a convenient temporary working method, rather than a permanent archive. Browser/site data can be removed, and a project saved in one browser or profile is not automatically available on another device. For calculations that need to be retained, use Export Project and keep the exported project file stored in an appropriate local, network or cloud location. Exported project files can be imported back into the calculator. The project system is intended to help organise shielding calculations; it is not a replacement for a formally documented shielding assessment or advice from a Radiation Protection Adviser (RPA).
F-18 PET and PET/CT — a different calculation method
PET and PET/CT are a nuclear medicine based modality and require a different approach from the diagnostic X-ray modalities available in this Ionactive calculator.
After administration of an F-18 radiopharmaceutical, the patient becomes the radiation source and can continue to irradiate surrounding areas while moving through the department.
A shielding assessment may therefore need to consider uptake rooms, scanning rooms (PET/CT), toilets (Hot WC), circulation routes and other locations occupied by radioactive patients, rather than considering only the imaging equipment itself.
F-18 produces 511 keV annihilation photons and these are substantially more penetrating than normal diagnostic X-rays, so PET shielding can involve significant wall, floor and ceiling barriers. Because the F-18 physical half-life is short on the scale of a clinical working day, radioactive decay during the patient journey is also important (and must be taken into account if over shielding is to be avoided).
The Ionactive calculator represents the PET workload as one or more declared radioactive-patient sources.
For each source the user can define or edit:
- administered activity;
- number of patients;
- clinical start time;
- duration;
- activity/retention factor;
- distance;
- relationship to the selected target barrier;
- and any intermediate or alternative-path shielding.
Radioactive decay is integrated over the actual nuclear medicine procedure, rather than treating the activity as constant throughout the complete patient stay.
Our Ionactive recommended PET calculation uses the BIR-style F-18 air-kerma source basis implemented in the calculator. A TG-108 comparison option is retained for reproducing and exploring published PET examples. These quantity bases are kept distinct: the TG-108 comparison quantity is not mixed with the CT air-kerma contribution in a combined PET/CT calculation. See below for further discussions on Kerma.
For PET/CT, the PET and CT parts are treated as independent radiation sources.
The PET contribution comes from the radioactive-patient workload. The CT contribution uses its own CT workload and secondary-radiation method. CT should be included in the combined calculation only where the CT radiation reaches the same physical target barrier being assessed. The calculator assesses the weekly shielding constraints and, where selected, a PET instantaneous dose-rate (IDR) constraint. IDR is particularly included for UK users who may need to adjust shielding where a constraint is applied to IDR, despite accumulated doses being well within design goals. Either constraint may determine the final shielding requirement.
Source paths, target barriers and alternative routes (PET-CT)
The PET/CT calculator cannot infer a floor plan - only the user can do this.
The user declares the source, distance, radiation path, target barrier and assessment point. The normal case is a radioactive patient source that irradiates the selected target barrier. Any intermediate shielding before that target barrier can be declared separately. The calculated target barrier shielding is then applied after the radiation has reached the barrier.
An additional source may also pass through the target barrier, or it may reach the same assessment point by a different route that does not cross the selected target barrier ( shielding on that alternative route can also be declared).
An important aspect of the PET/CT calculation process is that radiation reaching the assessment point by another path, cannot be reduced by increasing the shielding of the selected target barrier. It therefore represents a residual contribution at the assessment point. If an alternative path contribution alone already exceeds the selected weekly or instantaneous dose-rate constraints, there is no possible target-barrier thickness that can improve the shielding and the alternative path geometry, workload, shielding or selected design constraint must then be reviewed. Whilst this analysis is a powerful feature of our V2 calculator, it is up to the user to define / understand the geometry - the calculator is relying on valid user inputs. If this is all sounding a little complicated (!) then try out the 'Uptake room + Hot WC alternative path' preset where this is explained by a specific example.
Version History
Version V2.0 — August 2026
Version 2.0 extends the Ionactive Medical Imaging Radiation Shielding Calculator to include the nuclear medicine modality F-18 PET and PET/CT shielding, and introduces optional projects and saved calculations.
F-18 PET/PET-CT calculations use declared radioactive patient source locations with physical decay over the patient workflow. Multiple source paths can be considered at one assessment point, including radiation that crosses the selected target barrier and radiation arriving by a separate route. PET/CT can additionally include an independent CT workload where the CT contribution reaches the same physical target barrier. Weekly shielding and PET instantaneous dose rate constraints are assessed separately and the dominant requirement is identified.
V2.0 includes:
- a full numerical PET/PET-CT calculation derivation;
- published PET example presets;
- an Ionactive multi path worked example demonstrating an uptake room target wall together with a separately shielded Hot WC contribution (useful for understanding facility geometry);
- optional local browser projects;
- multiple named calculations within each project;
- whole project result summaries;
- project export/import;
- and local project privacy/storage information.
The optional project system allows multiple independent calculations for one imaging modality to be stored together in the user's browser. Saved calculations can be reopened, duplicated and reviewed in a whole project summary. Projects can be exported to a portable project file for backup or transfer and subsequently imported.
The established V1 diagnostic X-ray calculation methods remain available in V2.0.
Version V1.0 — August 2026
Version 1.0 introduced the Ionactive Medical Imaging Radiation Shielding Calculator for diagnostic X-ray imaging modalities.
It was designed both as a practical shielding assessment tool and as a way of examining how workload, geometry, occupancy, design goals, barrier transmission, existing shielding and practical lead specifications interact.
Published worked examples and reference presets were included for a number of modalities so that recognised NCRP and BIR examples could be reproduced using the same calculation engine as a normal user assessment.
Summary and detailed result modes allowed either a concise design output or a more technical examination of the underlying calculation.
How to use the calculator
The calculator assesses one target barrier or assessment point at a time. It may be used for a single calculation, or several related calculations can be saved together in a project.
For a typical calculation the user will:
- Select the imaging modality.
Examples include general radiography, fluoroscopy, CT, mobile C-arm fluoroscopy, mammography, dental CBCT and F-18 PET/PET-CT. - Describe the barrier or assessment point.
An optional barrier reference can be entered, for example:- Wall W2 — primary wall adjacent to corridor
- Ceiling C1 — office above
- Uptake room east wall — office beyond
- Enter the workload or source term.
Depending on modality this could be entered as procedures per week, KAP, DLP, air kerma per examination/scan, or a radioactive-patient activity/workflow for PET. - Enter the geometry.
Define the appropriate distance from the radiation source, patient or scatter point to the barrier or assessment point. - Enter the shielding design criteria.
This normally includes occupancy and the weekly air-kerma design goal. PET calculations may additionally use instantaneous dose rate (IDR) constraints. - Select the shielding material.
The calculator determines the shielding thickness required and, where appropriate, a practical lead specification or lead code. - Include verified existing shielding where appropriate so that the calculator can estimate the additional shielding required rather than assuming a completely new barrier.
- For PET/PET-CT, add further patient sources or alternative radiation paths only where they are physically relevant to the assessment point. This feature is best used where the user has a plan of the facility with knowledge of the geometry between work areas.
- Optionally save the calculation to a project, give it a meaningful name and move on to the next barrier or assessment point. The Project Summary can then be used to review the results together.
Results can be viewed in a concise summary or in a more detailed technical form.
A detailed calculation derivation is provided so that experienced users can inspect the source terms, geometry, attenuation and criterion rather than accepting only a final shielding thickness.
Basic principles of the shielding calculation
Although the exact method varies between modalities, most shielding calculations are based on the same general ideas. We only include the basics here, if you want the fullest explanation and all the data tables then consider reading this resource : NCRP 147 'Structural Shielding Design for Medical X-Ray Imaging Facilities' for x-ray modalities, and AAPM Task Group 108: PET and PET/CT Shielding Requirements for PT/CT. Note that whilst these are key documents, the Ionactive calculator goes beyond these and also uses more recent data (including Ionactive in house data).
1. Radiation source or workload
The first step is to estimate how much radiation is incident on the barrier before any shielding is applied. This depends on the type of imaging equipment and the way it is used.
For example:
- a general radiographic room may use published per-patient source terms,
- a mobile C-arm may use KAP based scatter factors,
- CT may use DLP based workload methods,
- dental CBCT may use air kerma per scan at 1 m.
- PET/PET-CT uses radioactive-patient source terms whose activity changes with radioactive decay as the patient progresses through the clinical workflow.
The calculator uses recognised published methods for these source terms, principally from NCRP 147 and later BIR-based approaches where appropriate, and TG-108.
2. Distance
The level of radiation reaching the barrier or assessment point depends strongly on distance. In general, radiation intensity falls with increasing distance, approximately according to the inverse square law.
Where appropriate, the calculator allows either:
- a direct distance to the assessment point, or
- a wall-surface distance with the NCRP convention of assessing the dose at a point 0.3 m beyond the barrier.
The actual distance used in the calculation is shown in the output so that the user can confirm the geometry. In most cases it is the dose at a distance that is being calculated, rather than dose rate.
PET source geometry is declared directly by the user. The calculator does not infer room layout or assume that every source reaches the point through the selected target wall.
3. Occupancy and design goal
Shielding is not generally designed to reduce the radiation level as much as possible; it is designed so that the radiation level in the occupied area beyond the barrier does not exceed the chosen design goal (and is deemed ALARP). The design goal will be influenced by national standards; in the UK this would be the Ionising Radiations Regulations 2017. For the UK the design goal is rarely simply the dose limit, but rather a constraint below that. So for undesignated areas you will often see a weekly design constraint of 6 μSv/week (0.3 mSv over a working year), whereas is in NCRP 144 you will often see 20 μSv/week for the same classification of area.
Shielding will depend on:
- the weekly shielding design goal, and
- the occupancy factor, which represents how much of the working week the adjacent area is occupied.
4. Barrier transmission and shielding thickness
Once the required transmission is known, the calculator uses published transmission data for materials such as lead, concrete, gypsum, steel and others, depending on modality and method.
The result is a calculated continuous thickness. Where lead is used, the calculator may also suggest a practical lead specification or lead code, because real shielding is normally installed in standard available thicknesses rather than arbitrary fractions of a millimetre. Upscaling to the next available lead code helps to further optimise the performance of the barrier (i.e. follow the ALARP principle).
5. Existing shielding
If a barrier already exists, or if equipment such as a bucky or receptor assembly provides verified attenuation, the calculator can include this so that the result represents the additional shielding required, not simply the total shielding needed from zero. If this is included the calculator asks the user to verify the specification of the shielding before being included in the calculation process.
6. PET/PET-CT source paths and time-dependent activity
PET/PET-CT extends the general shielding principles because the patient hosts a moving, decaying radioactive source rather than being next to a fixed X-ray tube / system.
F-18 activity is integrated over each declared source period, and several source locations can contribute to one assessment point. A source can irradiate the selected target barrier or reach the assessment point by another declared path. Intermediate or alternative path shielding is treated separately from the target barrier. Therefore a contribution arriving by another path cannot be controlled by making the target barrier thicker. If the other path contribution already exceeds the selected constraints, the calculator reports that no target barrier solution exists (see the Ionactive preset 'Uptake room + Hot WC alternative path' ).
For PET/CT, CT is treated as an independent workload and is combined with PET only where both components reach the same target barrier. The weekly combined constraint and PET IDR constraint are solved separately, with the more restrictive requirement governing the final barrier where an IDR constraint has been selected. Usually PET will dictate the shielding requirements, but this is not assumed.
Understanding the calculator output
Depending on modality and result mode, output can include:
- the unshielded weekly air kerma or PET source burden;
- the required barrier transmission;
- the calculated continuous shielding thickness;
- a practical lead code specification where applicable;
- the effect of existing shielding;
- comparisons between shielding materials;
- PET target path and alternative path contributions;
- the weekly design constraint;
- the PET instantaneous dose rate constraint where applicable;
- a full calculation derivation for checking.
For PET source tables, particular care should be taken with the path terminology. For a source that crosses the target barrier, the burden after Bpath is the burden reaching the target barrier before target barrier shielding is applied.
For a source using an alternative route, it is the burden (radiation) already reaching the assessment point, after any shielding declared on that alternative path (noting there may or may not be shielding along the path).
Consider the diagram below. If the assessed exposure at point P is above the design goal, then adding further shielding to the target barrier will not influence the exposure arising from the HOT WC. Here, shielding in a low occupancy area (around WC) may be assumed sufficient, but perhaps not so further away where occupancy is 100%, regardless of any inverse square reduction. Our calculator will allow the user to explore such situations.
It is important to understand that path shielding and the target barrier are separate concepts. For a source (radiation) that passes through the selected target barrier, optional path shielding represents any shielding encountered before the radiation reaches that barrier. The target barrier then provides additional attenuation. For a source that reaches the assessment point by a different route (e.g. Hot WC), optional path shielding represents shielding on that alternative route; the selected target barrier does not attenuate that source because the radiation does not pass through it.
Understanding path shielding and transmission B-path
The treatment of distance
Distance is one of the most important parameters in shielding calculations, so the calculator makes the distance convention explicit rather than hiding it within the calculation.
For the diagnostic X-ray modalities the user can, where appropriate, enter the distance directly to the assessment point or use a wall surface distance with the NCRP convention of assessing a point 0.3 m beyond the barrier. The distance actually used is shown in the result.
For PET/PET-CT the user declares the distance from each radioactive patient source to the relevant target barrier or assessment point. Where a source (radiation) reaches an assessment point by another route, that source/path geometry is entered explicitly rather than inferred by the calculator.
Air kerma and dose rate units
Diagnostic X-ray shielding calculations are normally expressed using air kerma, with units such as µGy, mGy or Gy. The calculator therefore uses air kerma quantities for its diagnostic shielding source terms, weekly design goals and calculated radiation levels.
Radiation protection instruments and personal dosimetry often display quantities in µSv/h, µSv or mSv. Values expressed in µGy and radiation protection quantities expressed in µSv will be of a similar order under some diagnostic radiation conditions, but they are not physically identical quantities and should not automatically be treated as interchangeable.
The F-18 PET calculation also retains a distinction between the recommended air kerma calculation basis used for new work and the TG-108 comparison basis used for reproducing published examples. This distinction is particularly important in PET/CT, where the CT component is an air kerma calculation and unlike quantities should not be automatically added together.
An understanding of the calculation (derivation) process
At the end of the detailed result the calculator can display the calculation derivation. This is included so that experienced users can check, reproduce or challenge the calculation rather than simply accepting the final answer. It is also useful for training purposes where the user can follow the calculation line by line. We have avoided formatting with significant figures other than the final result, so the calculation presented is the raw data and various stages.
Depending on modality, the calculation may use:
- NCRP workload distributions;
- KAP or DLP based scatter methods;
- published secondary radiation source terms;
- inverse square distance correction;
- occupancy and weekly design goals;
- existing barrier credit;
- and the appropriate transmission data to determine the required barrier thickness.
For F-18 PET/PET-CT the derivation additionally shows:
- radioactive patient activity basis;
- F-18 physical decay integration;
- declared source/path contributions;
- intermediate or alternative path transmission;
- target barrier solution;
- CT contribution where applicable;
- existing barrier credit;
- weekly dose constraints;
- PET instantaneous dose rate (IDR) constraints;
- and the principal shielding requirement.
Where the combined PET/PET-CT barrier exceeds the supported CT secondary transmission fit range, the CT contribution is conservatively held at the transmission corresponding to 3 mm lead or 300 mm reference density concrete, while the F-18 attenuation calculation continues normally. This avoids extrapolating the CT transmission fit beyond the range adopted by the calculator (for all x-ray imaging modalities).
Published and worked examples
For many of the modalities the calculator includes published worked examples and reference presets. These allow recognised NCRP, BIR and PET examples to be loaded directly into the calculator and reproduced using the same calculation engine as a normal user assessment.
Our examples are useful for:
- understanding the methodology;
- checking that the calculator behaves as expected;
- comparing against an independent calculation;
- and exploring the effect of changing one assumption at a time (sensitivity analysis)
The PET/PET-CT section additionally includes the Ionactive Uptake room + Hot WC alternative path worked example described earlier.
Presets and worked examples are educational/reference cases and should not be treated as confirmed design values for a real installation. Actual equipment, radioactive workloads, room geometry, occupancy and construction, and local legislative requirements should be used whenever these are available.
Summary or detailed results
Results can be viewed either as a simplified summary or as a more detailed technical analysis.
The summary view concentrates on the shielding requirement and practical specification. The detailed view shows more of the calculation, including source significance, distance correction, occupancy, design goals, required transmission and calculated shielding thickness.
For PET/PET-CT the detailed output additionally shows radioactive decay, individual patient source paths, alternative path contributions, PET/CT combination and the weekly/IDR constraints (as specified). This means that a user who simply wants to explore a design option can obtain a clear result without having to work through every intermediate quantity, while an RPA, medical physicist, shielding designer or student can examine how the result has been derived.
Mark Ramsay
Radiation Protection Adviser (RPA)
Ionactive Consulting Limited
August 2026