Differences in effective dose estimation from dosearea 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, 35 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 dosearea 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 loglog 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 60100 kVp.
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Figure 3. Conversion coefficients of entrance surface dose and dosearea 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 dosearea 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. [ ESD%=(ESDC-ESD)/max(ESDC,ESD)].
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Figure 6. Estimates of the effective dose from dosearea 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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Copyright © 2001 by the British Institute of Radiology.