The diploma thesis on "Radiation exposure of persons working at risk of ionising radiation at the Pilsen University Hospital" is divided into two parts. The first analyses personal effective doses of the employees of the Pilsen University Hospital in 20092013, and the second focuses on measurements of secondary radiation created after the activation of collimator systems of linear accelerators. The introduction of the theoretical part discusses the history of radiology, followed by a summary of information on the sources of ionising radiation, its characteristics, properties, methods of interaction with the environment and biological effects on organisms. The chapter on radiation protection focuses on basic legislative regulations relevant to the topic. In the Czech Republic, radiation protection of people working with sources of ionising radiation is mostly based on Act No. 18/1997 Coll., on peaceful uses of nuclear energy, and Regulation of the State Office for Nuclear Safety No. 307/2002 Coll., on radiation protection. The thesis also lists dose limits and basic information about personal dosimetry, and the theoretical section is concluded with information on the methods of protecting personnel and on provided healthcare. The thesis uses as its sources primary literature, internet links, current legislation and data from the database of the State Office for Nuclear Safety on records from personal dosimeters in the analysed period. The thesis had two objectives. The first was to compare levels of exposure at the Pilsen University Hospital. The analysis involved 579 persons in total; after arranging the data into tables and dividing employees into groups by the type of tasks they perform and their job, it was possible to compare median value indicators, confirming the hypothesis that persons carrying out intervention tasks are exposed to more ionising radiation. In order to compare the development of doses over time, a double-selection t-test was performed on data from 2009 and 2013, confirming the effectiveness of anti-radiation measures adopted at the University Hospital and a reduction in the exposure of employees in this period. The second objective was to confirm or deny the hypothesis that secondary radiation created by collimator systems, while measurable, is not sufficiently large to be detected by personal dosimeters. In order to achieve this objective, measurements were carried out at the Oncology and Radiology Clinic of the Pilsen University Hospital. The first measurements tried to determine the relationship between dose and time at various levels of energy, the second compared the relationship between dose and distance from the collimator plane and the third monitored the number of exposures until the collimator plates are saturated and dose is no longer increased. All results were arranged in tables and projected in charts. The results of the research confirmed the hypothesis that secondary radiation created during the use of high-energy equipment is just below the detection limits of personal dosimeters. For this reason, it is recommended to frequently rotate personnel working with the equipment.

The thesis is based on the need of workplaces, where ionizing radiation sources are used, to implement a new legislation in the field of the Atomic Act effective since 1st January 2017. The thesis is focusing specifically on Radiation accidental exposures and radiation emergency on selected radiotherapeutic departments with linear particle accelerator. The theoretical part deals with definitions and categorization of radiation accidents and radiation emergency, relevant legal requirements and related work documentation related to this issue. The practical part deals with the evaluation of specific documents processed at two radiotherapeutic departments, the outcome of which is a proposal for their revision, which in agreement with the requirements of the new legislation and submitted for SÚJB´s approval. Primarily, for this purpose, it is a part of the practical part to create data file of actual radiation accidents and radiation emergencies in two specific workplaces and to analyze the causes of their occurrence. An interesting element is the choice of workplaces with a different producer of a linear accelerator, where are only two companies on the market. This choice was intend to determine whether the root causes of radiology accidents can have a causal link in relation to the technology in question of SW or accessories of the producer. The aim of the analysis is, in any case, awareness, prevention and iterative removal of the causes of accidents and the adoption of such measures in order to avoid any recurrence of events already occurred. All precautionary and follow-up measures, including responsibilities and competences, must be documented in the documentation of departments, with each holder of the resource authorization being required to keep this documentation in agreement with practice and current legislation. The thesis contributes to the detection of the causes of the accidents and the revision of the related documentation in order to be in agreement with the actual situation in the given depratments.

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