Beam Filtration Research Articles

MO‐PIS‐Exhibit Hall‐01: Imaging: CT Dose Optimization Technologies I

MO‐PIS‐Exhibit Hall‐01: Imaging: CT Dose Optimization Technologies I

SU‐E‐CAMPUS‐I‐04: Automatic Skin‐Dose Mapping for An Angiographic System with a Region‐Of‐Interest, High‐Resolution Detector

Purpose:Our real‐time skin dose tracking system (DTS) has been upgraded to monitor dose for the micro‐angiographic fluoroscope (MAF), a high‐resolution, small field‐of‐view x‐ray detector.Methods:The MAF has been mounted on a changer on a clinical C‐Arm gantry so it can be used interchangeably with the standard flat‐panel detector (FPD) during neuro‐interventional procedures when high resolution is needed in a region‐of‐interest. To monitor patient skin dose when using the MAF, our DTS has been modified to automatically account for the change in scatter for the very small MAF FOV and to provide separated dose distributions for each detector. The DTS is able to provide a color‐coded mapping of the cumulative skin dose on a 3D graphic model of the patient. To determine the correct entrance skin exposure to be applied by the DTS, a correction factor was determined by measuring the exposure at the entrance surface of a skull phantom with an ionization chamber as a function of entrance beam size for various beam filters and kVps. Entrance exposure measurements included primary radiation, patient backscatter and table forward scatter. To allow separation of the dose from each detector, a parameter log is kept that allows a replay of the procedure exposure events and recalculation of the dose components. The graphic display can then be constructed showing the dose distribution from the MAF and FPD separately or together.Results:The DTS is able to provide separate displays of dose for the MAF and FPD with field‐size specific scatter corrections. These measured corrections change from about 49% down to 10% when changing from the FPD to the MAF.Conclusion:The upgraded DTS allows identification of the patient skin dose delivered when using each detector in order to achieve improved dose management as well as to facilitate peak skin‐dose reduction through dose spreading.Research supported in part by Toshiba Medical Systems Corporation and NIH Grants R43FD0158401, R44FD0158402 and R01EB002873

TH‐A‐18C‐10: Dynamic Intensity Weighted Region of Interest Imaging

Purpose:For image guidance tasks full image quality is not required throughout the entire image. With dynamic filtration of the kV imaging beam the noise properties of the CT image can be locally controlled, providing a high quality image around the target volume with a lower quality surrounding region while providing substantial dose sparing to the patient as well as reduced scatter fluence on the detector.Methods:A dynamic collimation device with 3mm copper blades has been designed to mount in place of the bowtie filter on the On‐Board Imager (Varian Medical Systems). The beam intensity is reduced by 95% behind the copper filters and the aperture is controlled dynamically to conformally illuminate a given ROI during a standard cone‐beam CT scan. A data correction framework to account for the physical effects of the collimator prior to reconstruction was developed. Furthermore, to determine the dose savings and scatter reduction a monte carlo model was built in BEAMnrc with specifics from the Varian Monte Carlo Data Package. The MC model was validated with Gafchromic film.Results:The reconstructed image shows image quality comparable to a standard scan in the specified ROI, with higher noise and streaks in the outer region but still sufficient information for alignment to high contrast structures. The monte carlo modeling showed that the scatter‐to‐primary ratio was reduced from 1.26 for an unfiltered scan to 0.45 for an intensity weighted scan, suggesting that image quality may be improved in the inner ROI. Dose in the inner region was reduced 10–15% due to reduced scatter and by as much as 75% in the outer region.Conclusion:Dynamic intensity‐weighted ROI imaging allows reduction of imaging dose to sensitive organs away from the target region while providing images that retain their utility for patient setup and procedure guidance.Funding was provided in part by Varian Medical Systems and NIH Grants 1RO1CA120540, T32EB002103, S10 RR021039 and P30 CA14599.The contents of this work are solely the responsibility of the authors and do not necessarily represent the official views of any of the supporting organizations.

Review of Kerma-Area Product and total energy incident on patients in radiography, mammography and CT.

This study estimated the energy incident on patients in radiography, mammography and CT using data related to X-ray beam quantity and quality. The total X-ray beam quantity is the average Air Kerma multiplied by the X-ray beam area and expressed as the Kerma-Area Product (Gy cm(-2)). The X-ray beam quality primarily depends on the target material (and anode angle), X-ray voltage (and ripple) as well as X-ray beam filtration. For any X-ray spectra, dividing total energy (fluence × mean energy) by the X-ray beam Kerma-Area Product yields the energy per Kerma-Area Product value (ε/KAP). Published data on X-ray spectra characteristics and energy fluence per Air Kerma conversion factors were used to determine ε/KAP factors. In radiography, ε/KAP increased from 6 mJ Gy(-1) cm(-2) at the lowest X-ray tube voltage (50 kV) to 25 mJ Gy(-1) cm(-2) at the highest X-ray tube voltage (140 kV). ε/KAP values ranged between 1 and 5 mJ Gy(-1) cm(-2) in mammography and between 24 and 42 mJ Gy(-1) cm(-2) in CT. Changes in waveform ripple resulted in variations in ε/KAP of up to 15 %, similar to the effect of changes resulting in the choice of anode angle. For monoenergetic X-ray photons, there was a sigmoidal-type increase in ε/KAP from 2 mJ Gy(-1) cm(-2) at 20 keV to 42 mJ Gy(-1) cm(-2) at 80 keV. However, between 80 and 150 keV, the ε/KAP shows variations with changing photon energy of <10 %. Taking the average spectrum energy to consist of monoenergetic X rays generally overestimates the true value of ε/KAP. This study illustrated that the energy incident on a patient in any area of radiological imaging can be estimated from the total X-ray beam intensity (KAP) when X-ray beam quality is taken into account. Energy incident on the patient can be used to estimate the energy absorbed by the patient and the corresponding patient effective dose.

All-Pass Filter-Based 2-D IIR Filter-Enhanced Beamformers for AESA Receivers

An active electronically scanned array (AESA) beamforming method that provides enhanced selectivity (interference rejection) for the same number of antennas compared to conventional delay-and-sum (DAS) beamforming is proposed. Conventional DAS 2-D transfer function is modified by introducing complex pole-manifolds based on recently proposed 2-D infinite impulse response (IIR) beam filters, at guaranteed stability. A continuous-time domain signal flow graph is proposed based on first order all-pass filters that eliminate the need of transmission line-based delays used in conventional DAS beamformers. Improved interference rejection is verified using closed-form signal processing models. For an array of 64 antennas, with desired signal direction of arrival (DOA) 10 ° and interference DOA -60° from array broadside, the proposed scheme shows an improvement in the signal-to-interference ratio (SIR) around 7 dB for the same number of antennas, compared to DAS beamforming. The improvement in interference rejection is observed for both uniform and non-uniform aperture weights in terms of side lobe performance. A feasibility study is presented on potential CMOS circuit implementation of the proposed AESA for a linear array of eight antennas and maximum operational frequency of 1 GHz.

High-energy, tunable-wavelengths, Q-switched pulse laser

An all fiber, wavelength tunable, Q-switched erbium-doped fiber laser (EDFL) based on a graphene saturable absorber (SA) and an unbalanced Mach–Zehnder interferometer (UMZI) has been demonstrated. The wavelengths of the Q-switched laser can be accurately tuned over a range of ~35nm by inserting into the cavity an UMZI with a variable optical delay line (OVDL) in one arm, which acts as an optical beam filter into the cavity. The Q-switched pulse duration and the pulse energy have all been characterized. The maximum pulse energy of 36.9nJ was obtained.

Intercomparison of Gafchromic™ films, TL detectors and TL foils for the measurements of skin dose in interventional radiology

Several passive solid state dosemeters, such as Gafchromic™ films and thermoluminescence (TL) detectors, are used to estimate and monitor patient skin doses in interventional radiology. To determine the suitability of XR-TypeR Gafchromic™ films and of detectors based on TL materials: pellets, chips and foils to measure skin dose, an intercomparison exercise has been organized within European Dosimetry Radiation Group – Working Group 12 “European Medical ALARA Network” (EURADOS WG12). To test response detectors were exposed to X-ray beams of energies and qualities applied clinically. A blind test was also performed to investigate the accuracy of the dose estimate by detectors exposed to unknown doses. We found the response of films to be strongly dependent on beam quality and filtration (increasing by up to 80% with respect to reference beam quality). The response of TL detectors was found to be less dependent on beam quality (less than 25% variation), with TL foils showing less than 10% variation with respect to reference beam quality. To accurately estimate patient skin doses in interventional radiology it is important to choose the quality of the calibration beam to be as close as possible to the quality of beams actually applied in clinical work.

Modern Techniques for Inelastic Thermal Neutron Scattering Analysis

A predictive approach based on ab initio quantum mechanics and/or classical molecular dynamics simulations has been formulated to calculate the scattering law, S(κ⇀,ω), and the thermal neutron scattering cross sections of materials. In principle, these atomistic methods make it possible to generate the inelastic thermal neutron scattering cross sections of any material and to accurately reflect the physical conditions of the medium (i.e, temperature, pressure, etc.). In addition, the generated cross sections are free from assumptions such as the incoherent approximation of scattering theory and, in the case of solids, crystalline perfection. As a result, new and improved thermal neutron scattering data libraries have been generated for a variety of materials. Among these are materials used for reactor moderators and reflectors such as reactor-grade graphite and beryllium (including the coherent inelastic scattering component), silicon carbide, cold neutron media such as solid methane, and neutron beam filters such as sapphire and bismuth. Consequently, it is anticipated that the above approach will play a major role in providing the nuclear science and engineering community with its needs of thermal neutron scattering data especially when considering new materials where experimental information may be scarce or nonexistent.

Trace and ultratrace determination of heavy metal ions by energy-dispersive X-ray fluorescence spectrometry using graphene as solid sorbent in dispersive micro solid-phase extraction

In this paper, the adsorptive properties of graphene nanosheets were used for simultaneous preconcentration of cobalt, nickel, copper and lead ions from water samples. The developed methodology is based on dispersive micro-solid phase extraction (DMSPE) which is miniaturized and a simplified version of classical solid phase extraction technique. In proposed procedure only 200μL of suspension containing graphene (0.2mg), ammonium pyrrolidine dithiocarbamate (APDC) (0.8mg) and Triton-X-100 (0.1mg) is rapidly injected to 50mL of water sample. Then, graphene nanosheets with adsorbed metal-APDC chelates are collected on membrane filter and measured using energy-dispersive X-ray fluorescence (EDXRF) spectrometry. The various parameters including pH, amount of APDC, sample volume, amount of Triton-X-100 and sorption time were optimized in order to obtain the best recoveries. The experiment shows that Co, Ni, Cu and Pb can be simultaneously preconcentrated at pH of 5 with high recoveries (97%, 96%, 99% and 96% for Co, Ni, Cu and Pb, respectively) and very good precision (RSDs within 2.6–3.4%). Due to the excellent enrichment factors ranging from 400 to 2500 the proposed DMSPE–EDXRF procedure offers low detection limits. For optimized measurement conditions (voltage and current of X-ray tube, primary beam filter) the detection limits are even 0.08, 0.07, 0.08 and 0.20ngmL−1 for Co, Ni, Cu and Pb, respectively.

Nondestructive prediction of point source pyroshock response spectra based on experimental conditioning of laser-induced shocks

Pyroshock can easily cause failures in electronic and optical components that are sensitive to high-frequency energy. Pyroshock is generated during explosive-based pyrotechnical events, such as the separation of boosters from a space shuttle and the separation of satellites from a space launcher. Therefore, the prediction of high-frequency structural response, particularly the shock response spectrum (SRS), is important for safe operation of pyrotechnical devices. In general, real explosive testing using distributed accelerometers is widely used. This paper proposes a technology to replace the expensive, dangerous, low-repeatability explosive test with a laser-induced shock test based on a laser beam and in-line filter conditioning. This method does not use any special numerical signal processing. Two different experiments based on explosive and laser excitation were performed with a 2-mm thick aluminum plate. The optimum laser-induced shock experimental conditions to predict real pyroshock were investigated while considering the size, energy, and fluence of the laser beam as parameters. The similarity of the SRS of the laser-induced shock to that of the real explosive pyroshock was evaluated based on the mean acceleration difference (MAD, %). The experimentally determined optimal conditions were also applied to four points on the path of a pyroshock propagation. To match the SRS at each point, the laser-induced shock was amplified, for which three different gain concepts are proposed: the initial gain, optimized gain, and constant gain. The proposed technology enables nondestructive pyro SRS prediction by conditioning the laser-induced shock to obtain an SRS with high similarity to the real pyroshock.

Does the use of additional X-ray beam filtration during cine acquisition reduce clinical image quality and effective dose in cardiac interventional imaging?

The impact of spectral filtration in digital ('cine') acquisition was investigated using a flat panel cardiac interventional X-ray imaging system. A 0.1-mm copper (Cu) and 1.0-mm aluminium (Al) filter added to the standard acquisition mode created the filtered mode for comparison. Image sequences of 35 patients were acquired, a double-blind subjective image quality assessment was completed and dose-area product (DAP) rates were calculated. Entrance surface dose (ESD) and effective dose (E) rates were determined for 20- and 30-cm phantoms. Phantom ESD fell by 28 and 41 % and E by 1 and 0.7 %, for the 20- and 30-cm phantoms, respectively, when using the filtration. Patient DAP rates fell by 43 % with no statistically significant difference in clinical image quality. Adding 0.1-mm Cu and 1.0-mm Al filtration in acquisition substantially reduces patient ESD and DAP, with no significant change in E or clinical image quality.

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Optimization of Dose to Patient in Diagnostic Radiology Using Monte Carlo Method

Entrance Surface Dose (ESD) is one of the basic dosimetric quantities for measuring the patient dose and hence, an excellent tool for optimization purposes and for comparison with the international reference values. ESD value measurement for patient is also, an essential component of the quality assurance program for individual X-ray radiology departments. Factors affecting dose in all imaging modalities include beam energy, filtration, collimation, patient size, and image processing. Organ absorbed dose can be estimated by using a conversion factor along with a measured value of entrance exposure. When estimating the radiation dose of an individual patient, patient specific calculation methods can be used. The main objective of this study was to develop methods for assessment of ESD. In this study, image quality is quantified by modeling the whole X-ray imaging system, including the X-ray tube, and patient. This is accomplished by using Monte Carlo (MC) simulation methods that allow simultaneous estimates of measures of image quality and patient dose. In This study MCNP4C code was used to state a model for both human body and X-ray machine, to carry out such an investigation. Mathematical model of the human body with its all internal organs was used, and an image receptor of variable thickness and composition. Experimental results showed good agreement with theoretical predictions. The model may be used to generate data for a range of exposure conditions, and sample results will be presented. The usefulness and limitations of such a theoretical model will be discussed.

2-D-IIR Time-Delay-Sum Linear Aperture Arrays

A uniform linear array (ULA) digital beamformer with enhanced selectivity (interference rejection) over conventional true-time delay-sum (TTDS) beamforming is proposed for scanned aperture applications. Conventional TTDS transfer function, which contains only zero-manifolds, is modified by introducing complex pole-manifolds based on 2-D infinite impulse response (IIR) digital beam filters, thereby achieving enhanced selectivity for the same number of antennas in the ULA. For a ULA of 64 antennas, desired direction of arrival (DOA) 30° and interference DOA -60° from array broadside, a relative improvement in signal-to-interference ratio (SIR) of 7 dB is verified. For 128-element ULA, interference DOA -10°, a relative improvement in SIR of 5-10 dB is obtained for the desired DOA in the range 10°-90°. The projected improvements are independent of the weights of the conventional phased-array, TTDS, or filter-sum beamformer used because the method does not change the zero-manifolds of the original array pattern.

Space-Time Spectral White Spaces in Cognitive Radio: Theory, Algorithms, and Circuits

Space-time spectral white spaces in a cognitive radio environment are defined based on multidimensional spatio-temporal spectral properties of radio waves received by a planar array of antennas. Spectral occupancy of a given carrier frequency pertaining to a particular direction in space is expressed by the volume of a semi-cone shaped geometrical region in the 3-D spatio-temporal frequency space ω. A combined approach employing low complexity array processing and conventional time-frequency spectrum sensing is proposed towards the detection of space-time white spaces in ω. The detection scheme employs four subsystems; antenna array, front-end processing, 3-D spatio-temporal array processing, and 1-D spectrum sensing. Key components in the antenna array and front-end processing subsystems are described including an example of a broadband Vivaldi antenna simulated in the frequency range 1.25-2 GHz. The array processing subsystem employs 3-D infinite impulse response digital beam filters, as a low complexity alternative to conventional phased arrays. One potential realization of the 1-D spectrum sensing subsystem is described by using a tunable bandpass filter followed by an energy detector. Simulation examples are provided by considering different directions of arrival, effect of multi-path replicas, signal to noise ratio changes and both narrow band and wideband signals in the normalized temporal frequency range (0,π).

Prospects for in vivo estimation of photon linear attenuation coefficients using postprocessing dual‐energy CT imaging on a commercial scanner: Comparison of analytic and polyenergetic statistical reconstruction algorithms

Accurate patient-specific photon cross-section information is needed to support more accurate model-based dose calculation for low energy photon-emitting modalities in medicine such as brachytherapy and kilovoltage x-ray imaging procedures. A postprocessing dual-energy CT (pDECT) technique for noninvasive in vivo estimation of photon linear attenuation coefficients has been experimentally implemented on a commercial CT scanner and its accuracy assessed in idealized phantom geometries. Eight test materials of known composition and density were used to compare pDECT-estimated linear attenuation coefficients to NIST reference values over an energy range from 10 keV to 1 MeV. As statistical image reconstruction (SIR) has been shown to reconstruct images with less random and systematic error than conventional filtered backprojection (FBP), the pDECT technique was implemented with both an in-house polyenergetic SIR algorithm, alternating minimization (AM), as well as a conventional FBP reconstruction algorithm. Improvement from increased spectral separation was also investigated by filtering the high-energy beam with an additional 0.5 mm of tin. The law of propagated uncertainty was employed to assess the sensitivity of the pDECT process to errors in reconstructed images. Mean pDECT-estimated linear attenuation coefficients for the eight test materials agreed within 1% of NIST reference values for energies from 1 MeV down to 30 keV, with mean errors rising to between 3% and 6% at 10 keV, indicating that the method is unbiased when measurement and calibration phantom geometries are matched. Reconstruction with FBP and AM algorithms conferred similar mean pDECT accuracy. However, single-voxel pDECT estimates reconstructed on a 1 × 1 × 3 mm(3) grid are shown to be highly sensitive to reconstructed image uncertainty; in some cases pDECT attenuation coefficient estimates exhibited standard deviations on the order of 20% around the mean. Reconstruction with the statistical AM algorithm led to standard deviations roughly 40% to 60% less than FBP reconstruction. Additional tin filtration of the high energy beam exhibits similar pDECT estimation accuracy as the unfiltered beam, even when scanning with only 25% of the dose. Using the law of propagated uncertainty, low Z materials are found to be more sensitive to image reconstruction errors than high Z materials. Furthermore, it is estimated that reconstructed CT image uncertainty must be limited to less than 0.25% to achieve a target linear-attenuation coefficient estimation uncertainty of 3% at 28 keV. That pDECT supports mean linear attenuation coefficient measurement accuracies of 1% of reference values for energies greater than 30 keV is encouraging. However, the sensitivity of the pDECT measurements to noise and systematic errors in reconstructed CT images warrants further investigation in more complex phantom geometries. The investigated statistical reconstruction algorithm, AM, reduced random measurement uncertainty relative to FBP owing to improved noise performance. These early results also support efforts to increase DE spectral separation, which can further reduce the pDECT sensitivity to measurement uncertainty.

Electronically scanned RF-to-bits beam aperture arrays using 2-D IIR spatially bandpass digital filters

A beamforming system based on two-dimensional (2-D) spatially bandpass infinite impulse response (IIR) plane wave filtering is presented in a multi-dimensional signal processing perspective and the implementation details are discussed. Real-time implementation of such beamforming systems requires modeling of computational electromagnetics for the antennas, radio frequency (RF) analog design aspects for low-noise amplifiers (LNAs), mixed-signal aspects for signal quantization and sampling and finally, digital architectures for the spatially bandpass plane wave filters proposed in Joshi et al. (IEEE Trans Very Large Scale Integr Syst 20(12):2241---2254, 2012). Multi-dimensional spatio-temporal spectral properties of down-converted RF plane wave signals are reviewed and derivation of the spatially bandpass filter transfer function is presented. An example of a wideband antipodal Vivaldi antenna is simulated at 1 GHz. Potential RF receiver chains are identified including a design of a tunable combline microstrip bandpass filter with tuning range 0.8---1.1 GHz. The 1st-order sensitivity analysis of the beam filter 2-D $$\mathbf z $$ z -domain transfer function shows that for a 12-bits of fixed-point precision, the maximum percentage error in the 2-D magnitude frequency response due to quantization is as low as $$0.3\,\%$$ 0.3 % . Monte-Carlo simulations are used to study the effect of quantization on the bit error rate (BER) performance of the beamforming system. 5-bit analog to digital converter (ADC) precision with 8-bit internal arithmetic precision provides a gain of approximately 16 dB for a BER of $$10^{-3}$$ 10 - 3 with respect to the no beamforming case. ASIC Synthesis results of the beam filter in 45 nm CMOS verifies a real time operating frequency of 429 MHz.

Dose optimization in cardiac x‐ray imaging

The aim of this research was to optimize x-ray image quality to dose ratios in the cardiac catheterization laboratory. This study examined independently the effects of peak x-ray tube voltage (kVp), copper (Cu), and gadolinium (Gd) x-ray beam filtration on the image quality to radiation dose balance for adult patient sizes. Image sequences of polymethyl methacrylate (PMMA) phantoms representing two adult patient sizes were captured using a modern flat panel detector based x-ray imaging system. Tin and copper test details were used to simulate iodine-based contrast medium and stents∕guide wires respectively, which are used in clinical procedures. Noise measurement for a flat field image and test detail contrast were used to calculate the contrast to noise ratio (CNR). Entrance surface dose (ESD) and effective dose measurements were obtained to calculate the figure of merit (FOM), CNR(2)∕dose. This FOM determined the dose efficiency of x-ray spectra investigated. Images were captured with 0.0, 0.1, 0.25, 0.4, and 0.9 mm Cu filtration and with a range of gadolinium oxysulphide (Gd2O2S) filtration. Optimum x-ray spectra were the same for the tin and copper test details. Lower peak tube voltages were generally favored. For the 20 cm phantom, using 2 Lanex Fast Back Gd2O2S screens as x-ray filtration at 65 kVp provided the highest FOM considering ESD and effective dose. Considering ESD, this FOM was only marginally larger than that from using 0.4 mm Cu at 65 kVp. For the 30 cm phantom, using 0.25 mm copper filtration at 80 kVp was most optimal; considering effective dose the FOM was highest with no filtration at 65 kVp. These settings, adjusted for x-ray tube loading limits and clinically acceptable image quality, should provide a useful option for optimizing patient dose to image quality in cardiac x-ray imaging. The same optimal x-ray beam spectra were found for both the tin and copper details, suggesting that iodine contrast based imaging and visualization of interventional devices could potentially be optimized for dose using similar x-ray beam spectra.

Estimation of dose-area product-to-effective dose conversion factors for neonatal radiography using PCXMC

Dose-area product-to-effective dose (E) conversion factors for chest, abdomen and abdomen-chest neonatal radiographs were computed. Seven patient models in the Monte Carlo software, PCXMC, were defined, representing neonates ranging in weight from 0.5 to 6.0 kg. Conversion factors for a tube potential range of 50-80 kVp at two beam filtrations (3.0 mm Al and 3.0 mm Al+0.1 mm Cu) were calculated. For 133 neonatal radiographs, effective dose values determined using these conversion factors were compared with those obtained from PCXMC simulations customised for each radiograph. For a 3.0-kg newborn irradiated at 60 kVp/3.0 mm Al beam filtration, the conversion factors were 2.58, 1.90 and 1.91 μSv (mGy cm(2))(-1) for chest, chest-abdomen and abdomen radiographs, respectively. Average dose difference between the conversion factors and customised dose calculations was 16 %. Disagreement in effective dose was most strongly correlated with under-collimation in the lateral direction.

A correlation study of eye lens dose and personal dose equivalent for interventional cardiologists

This paper presents the dosimetry part of the European ELDO project, funded by the DoReMi Network of Excellence, in which a method was developed to estimate cumulative eye lens doses for past practices based on personal dose equivalent values, H(p)(10), measured above the lead apron at several positions at the collar, chest and waist levels. Measurement campaigns on anthropomorphic phantoms were carried out in typical interventional settings considering different tube projections and configurations, beam energies and filtration, operator positions and access routes and using both mono-tube and biplane X-ray systems. Measurements showed that eye lens dose correlates best with H(p)(10) measured on the left side of the phantom at the level of the collar, although this correlation implicates high spreads (41 %). Nonetheless, for retrospective dose assessment, H(p)(10) records are often the only option for eye dose estimates and the typically used chest left whole-body dose measurement remains useful.