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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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Phantom:<br />

Fluoro 1<br />

DETERMINATION OF ENTRANCE SURFACE AIR KERMA RATE FOR A FLUOROSCOPY INSTALLATION<br />

User: __________________________________ Date:________________ Under table couch Over table couch C arm <br />

Hospital or clinic name: _________________________________________________________________________________<br />

1. X ray equipment<br />

X ray facility and model: _________________________________________ Room No.: ____________<br />

Image intensifier model: _________________________________________ Anti-scatter grid Yes No<br />

2. Dosimeter and phantom<br />

Dosimeter model: ________________________ Serial No.: ___________ Date of calibration: ___________<br />

Calibration coefficient 1 N K,Q 0<br />

: ______________ □ mGy/nC □ mGy/reading<br />

Reference conditions: HVL (mm Al): ________ Pressure P 0 (kPa): ______ Temperature T 0 ( o C): ____<br />

1<br />

This is the calibration coefficient for the whole dosimeter, including the detector and the measurement assembly. For systems with separate<br />

calibration coefficients for the detector and measurement assembly, the overall calibration coefficient is calculated as a product of the two separate<br />

calibration coefficients.<br />

182

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