Reference air kerma and kerma-area product as estimators of peak skin dose for fluoroscopically guided interventions

Establishment of air kerma reference standard for low dose rate Cs‐137 brachytherapy sources

A guarded cylindrical graphite ionization chamber of nominal volume 1000 cm3 was designed and fabricated for use as a reference standard for low-dose rate 137Cs brachytherapy sources. The air kerma calibration coefficient (N(K)) of this ionization chamber was estimated analytically using Burlin's general cavity theory, as well as by the Monte Carlo simulation and validated experimentally using ...

Calculating the peak skin dose resulting from fluoroscopically guided interventions. Part I: Methods

While direct measurement of the peak skin dose resulting from a fluoroscopically-guided procedure is possible, the decision must be made a priori at additional cost and time. It is most often the case that the need for accurate knowledge of the peak skin dose is realized only after a procedure has been completed, or after a suspected reaction has been discovered. Part I of this review article d...

Verification of Indicated Skin Entrance Air Kerma for Cardiac X-ray-guided Intervention Using Gafchromic Film.

The aim of this work was to verify the indicated maximum entrance surface air kerma (ESAK) using a GE Innova IGS 520 imaging system during cardiac interventional procedures. Gafchromic XR RV3 films were used for the patient measurements to monitor the maximum ESAK. The films were scanned and calibrated to measure maximum ESAK. Thermoluminescent dosemeters were used to measure the backscatter fa...

air-kerma standards using PENELOPE

Calculating the peak skin dose resulting from fluoroscopically‐guided interventions. Part II: Case studies†

Part II of this review article presents four case studies for which peak skin doses are calculated following the methods outlined in Part I of this review. The data available in the cases ranges from proprietary dose reports to fluoroscopy time and number of digital acquisition frames only. Flowcharts are provided for each case. These flowcharts outline the calculation steps and data sources us...