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Differences in effective dose estimation from dose–area product and entrance surface dose measurements in intravenous urography

E Yakoumakis, PhD1, I A Tsalafoutas, MSc2, D Nikolaou, MD2, I Nazos, RT2, E Koulentianos, MD, PhD2 and Ch Proukakis, MD, PhD1

1Medical Physics Department, Medical School, University of Athens, 75 Mikras Asias, 115 27 Athens and 2Radiology Department and Medical Physics Unit, Konstantopoulio — Agia Olga Hospital, 3–5 Agias Olga, Nea Ionia, 142 33 Athens, Greece



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Figure 1. Schematic diagram of the geometrical set-up of the instruments for measuring dose–area product (DAP) and entrance surface dose (ESD) in intravenous urography examinations.

 


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Figure 2. Output (O/P) variation with tube potential (kVp) setting expressed in a log–log chart, at 100 cm from the focus. The continuous lines represent fitting of all data points while the dashed lines represent fitting of data points from 60–100 kVp.

 


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Figure 3. Conversion coefficients of entrance surface dose and dose–area product (CCESD and CCDAP, respectively) with tube potential (kVp) setting for the X-ray views used in intravenous urography.

 


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Figure 4. Effective dose E estimates from dose–area product, E(DAP), entrance surface dose, E(ESD) and calculated ESD, E(ESDC) in 25 intravenous urography examinations.

 


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Figure 5. Measured entrance surface dose (ESD) and calculated ESD (ESDC) values of cumulative ESD in 25intravenous urography examinations. Numbers above the columns are the percentage differences. [{Delta}ESD%=(ESDC-ESD)/max(ESDC,ESD)].

 


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Figure 6. Estimates of the effective dose from dose–area product, E(DAP), and the effective dose from entrance surface dose with field size A', E'(ESD) in 25 intravenous urography examinations.

 





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