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Re: fluoroscopy exposures to physicians?



Yes Sandy,

My experience as an in house HP at a medical facility and then as a
consultant would tend to agree with those numbers.

HOWEVER,  Be it noted that it is difficult to be SURE where to dosimeter
was worn and MANY like to wear them at the waistline on the apron belt -
and this practice substantially increases the dosimeter indication.

Sandy Perle wrote:
> 
> While I can't share actual data from our records, I can assure you
> that the typical monthly exposure for those who wear a collar badge
> (and sometimes a chest badge under the lead apron), the dose to the
> collar for the vast majority exceed 1 rem exposure. In many cases,
> the QTD and YTD doses exceed the regulatory dose limits established
> in state radiation program regulations. Only through the use of dose
> weighting calculations, such as the Webster or Niklasson dose
> weighting, can they be considered within the dose limits imposed by
> regulatory statutes. Of course those states who are not agreement
> states, and have not adopted the annual dose limits and other
> philosophy, the physician, while they can calculate an EDE and remain
> below regulatory limits, they still have a problem with dose to the
> eye, in that dose weighting does not apply to the eye (lens dose
> equivalent) nor the skin (shallow dose equivalent). In essence, the
> eye dose, which is equal to the whole body dose, in the states where
> there is no annual LDE, always exceeds the 1.25 rem/qtr. Another good
> reason why all states should adopt the annual limits for DDE, LDE and
> SDE.
> 
> As far as correlation of this dose to cancer .. well, that's another
> interesting item for epidemiologists. I would hypothesize that the
> data suggests no correlation, or else we would have heard lots about
> this already.
> 
> ------------------------------------------------------------------------
> Sandy Perle                                     Tel:(714) 545-0100 / (800) 548-5100
> Director, Technical                             Extension 2306
> ICN Worldwide Dosimetry Service         Fax:(714) 668-3149
> ICN Pharmaceuticals, Inc.                       E-Mail: sandyfl@earthlink.net
> ICN Plaza, 3300 Hyland Avenue           E-Mail: sperle@icnpharm.com
> Costa Mesa, CA 92626
> 
> Personal Website: http://sandyfl.nukeworker.net
> ICN Worldwide Dosimetry Website: http://www.dosimetry.com
> 
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