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The Human Respiratory Tract Model of ICRP Publication 66 is used for calculations of dose in the extrathorathic (ET1) airways. Scaling for age and body size is included in determining the mass of the target tissue (basal cells) in ET1 but is not included in deriving the absorbed fraction for particulate radiation. For dose calculations, it has been assumed that all absorbed fractions for particulate radiation published in ICRP Publication 66 are independent of age and body size. Therefore, these absorbed fractions are applied to calculate specific effective energy values not only for the Reference Worker but also for non-adults with noses of different sizes. In this note changes to the size of the cylinder model of the anterior nose in ICRP 66 are made by varying the surface area, the cylinder radius, and the thickness of tissue beyond the target region (basal cell). The energy deposition (absorbed fractions) in the target region (basal cells) is calculated using the MCNP4B (Monte Carlo) code to study the effects of these changes on the predicted absorbed fractions within the cylinder model.

Few data are available regarding radiation exposure to children during cardiac catheterization. Using lithium fluoride thermoluminescent dosimeters, radiation exposure was measured during precatheterization chest roentgenography, fluoroscopy (hemodynamic assessment phase of catheterization) and cineangiography in 30 infants and children, ages 3 days to 21 years. Dosimeters were placed over the eyes, thyroid, anterior chest, posterior chest, anterior abdomen, posterior abdomen and gonads. Average absorbed chest doses were 24.5 mR during chest roentgenography, 5810 mR during catheterization fluoroscopy and 1592 mR during cineangiography. During the complete catheterization, average doses were 26 mR to the eyes, 431 mR to the thyroid area, 150 mR to the abdomen and 11 mR to the gonads. Radiation exposure during pediatric cardiac catheterization is low to the eyes and gonads but high to the chest and thyroid area. To decrease radiation dosage we suggest (1) low pulse-rate fluoroscopy; (2) substitution of contrast echocardiography for cineangiography; (3) large-plate abdominal/gonadal shielding; (4) a selective shield for thyroid area; (5) a very small field during catheter manipulation. Minimum radiation consistent with accurate diagnosis is optimal; however, erroneous or incomplete diagnosis is more dangerous than radiation-related hazards.