Would you leave your patients safety to chances

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GAFCHROMIC? XR Type R An ideal tool to measure
surface peak skin dose in Interventional
radiation, guided by fluoroscopy
Updated Jan06
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What we know

• What are the harmful effects from cumulative
  X-Ray exposure?
• Short term Dermal erythema, depilation,
  ulceration
• Long term Stochastic effects including cancer
  inducement

• How to minimize the risks?
• Responsible Radiation Management
• Monitor and document patients peak skin dose.
  In particular for
• Heavy patients
• Long Procedures
• Repeat Procedures
• Strategize refine fluoroscopy management

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Ways to Measure Dose

• Skin dose is determined by measuring the
  darkening of the film using either
• Densitometer (preferably a reflection
  densitometer)
• Comparator strip
• Flatbed scanner Epsons 1640-XL or GT-15000

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How does GAFCHROMIC? XR help?

• Detail dose distribution
• Immediate visualization of patient exposure
  magnitude and location

• A picture worth a thousand words
• Raises physicians awareness
• Know where to treat a latent skin injury
• Define where to avoid exposure in future
  procedures

GAFCHROMIC? XR Type R film - a simple tool for
comprehensive monitoring of patient exposure and
physician training. Comes in 14x17 in size
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A look at the positioning of the GAFCHROMIC? XR
Type R film
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GAFCHROMIC ? XR-R Feature

• Large (14x17), stable and easy to handle sheets
• Functions as a wide-area dosimeter
• Ideal for measuring and mapping patient skin
  dose
• Use is transparent to the patient and physician
• Film darkens in proportion to dose
• Results easily interpreted by visual inspection
• Easily measured with off-the-shelf
  densitometers/scanners
• Absolutely no post-exposure processing required
• Not light sensitive
• Energy independent from 60kVp to 120kVp
• Dose rate and dose fraction independent
• Can be cut into smaller sizes

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For more System Information..

• Please visit
• www.gafchromic.com

Or Customer service _at_ 877-591-7884 and
973-628-3523
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GAFCHROMIC? XR Type R Filmhas been Widely Used

• Field trials and clinical users include
• J. OConnell, Bureau of Environmental Radiation
  Protection, New York State Department of Health
  Cardiology Dosimetry Survey at 32 Interventional
  Cardiology Centers in New York State
• Dr. B. Archer, Baylor College of Medicine,
  Houston, TX
• Dr. L. Wagner, UTH-Texas Medical Center, Houston,
  TX
• E. Giles, St. Lukes Episcopal Hospital, Houston,
  TX
• Dr. R Chu, University of Oklahoma, Oklahoma City,
  OK
• Dr. G. Hegy, McGill University Health Center,
  Montreal, QC
• Dr. D. North, Rhode Island Hospital, Providence,
  RI
• Dr. P. Kuan, Univ. Hospital and Medical Center,
  Stony Brook, NY
• Dr. A. Meigooni, Univ. of Kentucky Medical
  Center, Lexington, KY
• J. Campbell, William Beaumont Hospital, Troy, MI
• Dr. H. Nishitani, University of Takushima, Japan
• Dr. R. Padovani, Santa Maria della Misericordia
  Hosp., Udine, Italy
• Dr. E Vano, S. Carlos University Hospital,
  Madrid, Spain