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. 2020 May 20;43(8):1114–1121. doi: 10.1007/s00270-020-02517-2

Table 4.

Threshold values of measurable dose quantities for which there are risks of skin effects following IR procedures

Peak skin dose (Gy) Ka,r(Gy);
body
PKA (Gy cm2);
body
Ka,r(Gy);
head
Risk of tissue reaction
2–3 3–8 150–300 2–5 Tissue reactions unlikely to occur
3–5 5–12 300–800 3–8 Small risk of transient erythema and epilation. Recovery from hair loss
5–8 8–20 400–1200 5–12

Risk of erythema and epilation in some patients. Effects may appear within 2–8 weeks

Erythema may be prolonged

8–12 12–30 600–2000 8–16 Transient erythema expected as a prompt effect. Skin desquamation, prolonged epilation

Note: threshold values are different for cumulative air kerma (Ka,r) and air kerma area product (PKA) for FGIs in the body and head, but peak skin dose levels are identical!