SErIES IAEA HumAn HEAltH SErIES IAEA Hum
SErIES IAEA HumAn HEAltH SErIES IAEA Hum
SErIES IAEA HumAn HEAltH SErIES IAEA Hum
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DETERMINATION OF INCIDENT AIR KERMA<br />
USING THE CDRH CHEST PHANTOM<br />
User: _________________________________<br />
K i Phantom:<br />
Chest 1<br />
Date: ______________<br />
Hospital or clinic name: ________________________________________________________<br />
1. X ray equipment<br />
X ray facility and model: ________________<br />
Imaging using screen–film combination<br />
Room No.: _________<br />
Imaging using digital image receptor<br />
Screen–film combination: _______________ Image receptor model: ___________________<br />
Film processor model: _________________________<br />
Developer and fixer (brand name): _______________.<br />
2. Dosimeter and phantom<br />
Dosimeter model: _________ Serial No.: _________ Date of calibration: _________<br />
Calibration coefficient 1 N K,Q0 : ____________ mGy/nC mGy/reading<br />
Reference<br />
conditions:<br />
HVL (mm Al): ________<br />
Pressure P 0 (kPa): _____<br />
Field size (mm × mm): ____________<br />
Temperature T 0 ( o C): ____<br />
Manufacturer of phantom: __________________________________<br />
Serial No.: _________.<br />
3. Exposure conditions<br />
□ AEC □ Manual AEC setting:______ mA setting:________ Tube voltage (kV): ___<br />
Manual or (if available) post-exposure mA·s: _________<br />
1<br />
This is the calibration coefficient for the whole dosimeter, including the detector and<br />
the measurement assembly. For systems with separate calibration coefficients for the detector<br />
and measurement assembly, the overall calibration coefficient is calculated as a product of the<br />
two separate calibration coefficients.<br />
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