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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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P KA Patient:<br />

Fluoro 1<br />

DETERMINATION OF AIR KERMA AREA PRODUCT<br />

User: _______________________________________<br />

Date: ______________<br />

Hospital or clinic name: ________________________________________________________<br />

1. X ray equipment<br />

X ray facility and model: _________________________________<br />

Room No.: _________<br />

Image intensifier model: ______________________________________________.<br />

Anti-scatter grid: Yes No<br />

2. KAP meter<br />

KAP model:______________ Serial No.: ____________ Calibration date: __________<br />

Calibration coefficient, N PKA ,Q 0<br />

: ________ Gy·cm 2 /C<br />

Gy·m 2 /reading<br />

Reference conditions: Beam quality: __________ HVL (mm Al): _________<br />

Pressure P 0 (kPa): _______<br />

Temperature T 0 ( o C): ____.<br />

185

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