S.C. Code Regs. § ch. 61, 61-64, pt. IV, app 61-64.IV.D

Current through Register Vol. 48, No. 10, October 25, 2024
Appendix 61-64.IV.D - Patient Exposure Guide

Medical ESEs Compliance with RHB 4.2.13.2 shall be considered adequate if the patient's exposure at skin entrance (ESE) does not exceed the limits for the anatomical thicknesses listed below. Facilities utilizing digital imaging systems shall not exceed the ESE Limits as outlined for a 200 speed system.

ESE Limits

Exam Type

Thickness

200 Speed/Digital (mR)

400 Speed (mR)

PA Chest - Grid - Non Grid

23 cm

38 23

23 8

AP Abdomen

23 cm

735

450

AP Lumbar Spine

23 cm

675

525

Full Spine (AP)

23 cm

390

218

AP Cervical Spine

13 cm

203

142

Lateral Skull

15 cm

218

105

Ret Pyelogram (AP)

23 cm

893

893

Thoracic Spine (AP)

23 cm

612

612

DP Foot

8 cm

111

111

Cephalometric

15 cm

45

45

Notes:

a) Patient thicknesses are expressed in centimeters (cm).

b) All measurements are made in air (no phantom).

c) If the film/screen speed cannot be determined, it will be assumed to be 200 speed.

Mammography ESEs: Refer to RHB 5.13.5.10 Dental Intraoral ESEs:

Compliance with RHB 4.2.13.2 shall be considered adequate if the patient's exposure at skin entrance (ESE) does not exceed the limits listed below. Facilities utilizing digital imaging systems shall not exceed the ESE Limits as outlined for a "D" speed film system.

kVp

"D" Speed Film and Digital

"E" and "F" Speed Film

ESE Limits (mR)

ESE Limits (mR)

50

690

384

55

600

324

60

528

276

65

480

240

70

420

204

75

312

168

80

276

144

85

240

126

90

216

108

95

192

64

100

168

56

S.C. Code Regs. ch. 61, 61-64, pt. IV, app 61-64.IV.D

Replaced and amended by State Register Volume 40, Issue No. 06, eff. 6/24/2016; State Register Volume 47, Issue No. 05, eff. 5/26/2023.