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INTERNATIONAL SPECIALTY PRODUCTSINTERNATIONAL SPECIALTY PRODUCTS

1361 Alps Road Wayne NJ 07470∙ Tel: 973-628-40001361 Alps Road Wayne NJ 07470∙ Tel: 973-628-4000A BUSINESS UNIT OF ISP

GAFCHROMIC XR Type RAn ideal tool to measure surface peak skin dose in Interventional radiation,

guided by fluoroscopy

Updated Jan’06



What are the harmful effects from cumulative X-Ray exposure?

Short term: Dermal erythema, depilation, ulceration Long term: Stochastic effects including cancer inducement

What we know……

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



Ways to Measure Dose Skin dose is determined by measuring the Skin dose is determined by measuring the darkening of the film using either:darkening of the film using either: Densitometer (preferably a reflection Densitometer (preferably a reflection densitometer) densitometer)

Comparator stripComparator strip Flatbed scanner – Epson’s 1640-XL or GT-15000Flatbed scanner – Epson’s 1640-XL or GT-15000



How does GAFCHROMIC XR help?

Detail dose distribution Immediate visualization of patient exposure – magnitude and location L & R are

patient’s orientation

L

R

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 14”x17” in size



A look at the positioning of the GAFCHROMIC XR Type R film

FILM



GAFCHROMIC XR-R Feature Large (14”x17”), stable and easy to handle sheetsLarge (14”x17”), stable and easy to handle sheets

Functions as a wide-area dosimeterFunctions as a wide-area dosimeter Ideal for measuring and mapping patient skin doseIdeal for measuring and mapping patient skin dose Use is transparent to the patient and physicianUse is transparent to the patient and physician

Film Film darkensdarkens in proportion to dose in proportion to dose Results easily interpreted by visual inspectionResults easily interpreted by visual inspection Easily measured with off-the-shelf Easily measured with off-the-shelf

densitometers/scannersdensitometers/scanners Absolutely no post-exposure processing requiredAbsolutely no post-exposure processing required Not light sensitiveNot light sensitive Energy independent from 60kVp to 120kVpEnergy independent from 60kVp to 120kVp Dose rate and dose fraction independentDose rate and dose fraction independent Can be cut into smaller sizesCan be cut into smaller sizes



For more System Information…..

Please visit

www.gafchromic.comOr

Customer service @ 877-591-7884

and 973-628-3523



GAFCHROMIC XR Type R Filmhas been Widely Used

Field trials and clinical users includeField trials and clinical users include J. O’Connell, Bureau of Environmental Radiation Protection, New J. O’Connell, Bureau of Environmental Radiation Protection, New

York State Department of Health – Cardiology Dosimetry Survey York State Department of Health – Cardiology Dosimetry Survey at 32 Interventional Cardiology Centers in New York State at 32 Interventional Cardiology Centers in New York State

Dr. B. Archer, Baylor College of Medicine, Houston, TXDr. B. Archer, Baylor College of Medicine, Houston, TX Dr. L. Wagner, UTH-Texas Medical Center, Houston, TX Dr. L. Wagner, UTH-Texas Medical Center, Houston, TX E. Giles, St. Luke’s Episcopal Hospital, Houston, TXE. Giles, St. Luke’s Episcopal Hospital, Houston, TX Dr. R Chu, University of Oklahoma, Oklahoma City, OKDr. R Chu, University of Oklahoma, Oklahoma City, OK Dr. G. Hegy, McGill University Health Center, Montreal, QCDr. G. Hegy, McGill University Health Center, Montreal, QC Dr. D. North, Rhode Island Hospital, Providence, RIDr. D. North, Rhode Island Hospital, Providence, RI Dr. P. Kuan, Univ. Hospital and Medical Center, Stony Brook, NYDr. P. Kuan, Univ. Hospital and Medical Center, Stony Brook, NY Dr. A. Meigooni, Univ. of Kentucky Medical Center, Lexington, Dr. A. Meigooni, Univ. of Kentucky Medical Center, Lexington,

KYKY J. Campbell, William Beaumont Hospital, Troy, MIJ. Campbell, William Beaumont Hospital, Troy, MI Dr. H. Nishitani, University of Takushima, JapanDr. H. Nishitani, University of Takushima, Japan Dr. R. Padovani, Santa Maria della Misericordia Hosp., Udine, Dr. R. Padovani, Santa Maria della Misericordia Hosp., Udine,

ItalyItaly Dr. E Vano, S. Carlos University Hospital, Madrid, SpainDr. E Vano, S. Carlos University Hospital, Madrid, Spain

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