“…As an alternative method, we analyzed the D skin,max measured by the RADIREC system (D skin,max,RPLGD ) and the total air kerma at the patient entrance reference point (Total K a,r ) in the same patient among an appropriate number of patients (approximately 50). We used the ratio of the D skin,max,RPLGD and the Total K a,r (D skin,max,RPLGD /Total K a,r ) as the Total K a,r to the D skin,max,Ka conversion factor (CF Ka,constant ) (Scheme 1b) [21][22][23][24][25]. Using this CF Ka,constant enabled the D skin,max (D skin,max,Ka ) to be estimated from the Total K a,r in real time during procedures, thereby enabling the operator to be warned when the dose approaches the thresholds for skin reddening and hair loss at 2 and 3 Gy, respectively.…”