To evaluate entrance skin exposure, the United States Food and Drug Ad
ministration (FDA), Center for Devices and Radiologic Health (CDRH), h
as developed patient-equivalent phantoms suitable for chest, abdominal
and lumbosacral spine projections. Clinical trials performed by FDA h
ave established the clinical equivalency of the exit X ray spectrum fo
r a 23 cm chest thickness and 21 cm abdomen patient. Similarly, cylind
rical Lucite head and body phantoms for computerised (axial) tomograph
y have been developed and standards for their design and use have been
published in the United States Code of Federal Regulations. The FDA h
as also conducted extensive surveys using these phantoms, and data is
routinely published to establish a national average for comparison. Th
ese four phantoms are discussed and evaluated for use in routine clini
cal facilities. Their use by the European Community is suggested, and
conformity, on an international scale, with existing US standards for
reference is promoted.