To face page 82.[Lovibond, Colour Theories.


Appendix III
THE APPLICATION OF THE NATURAL LAW OF SPECIFIC COLOUR RATE BY DR. DUDLEY CORBETT TO THE EXACT MEASUREMENT OF X-RAY DOSAGE.

Dr. Dudley Corbett.

The gradations in the tint given by the Sabouraud-Noiré pastille when exposed to X-rays are so fine, especially in that region of the colour scale where lies the erythema dose, that many have felt the want of a more accurate means of reading these tints, as well as a series of reliable standards for comparison. Hitherto the only methods at all generally used have been Hampson’s radiometer and Bordier’s radio-chronometer, the former in this country, and the latter on the Continent. Hampson’s instrument has two disadvantages: it can only be used with electric light, and the standards are made of tinted paper liable to get soiled, and to vary slightly with the changes in the pigment employed. Its advantage is that it may be used as a sliding scale, thus economising the pastilles. Some persons, however, have considerable difficulty in reading the tints, the scale rising only by gradations of 1/4 B.

In the construction of any such instrument, the really important point is to obtain a reliable standard for Tint B—i.e., the normal epilation dose. The tints on the Sabouraud card itself are not always identical, some representing a dose which will only just epilate, others an almost dangerous dose for unfiltered rays. The Tint B, which is the standard, allows a margin of error of 20 per cent. on either side. In other words, 4/5 B will almost always epilate, while 1-1/5 B is nearly the limit of safety. This observation is in accordance with the experience of other workers on this subject. In my instrument Tint B has been obtained by measuring the pastille with Lovibond’s tintometer immediately after exposure to the X-rays. The pastille was turned to a tint corresponding to an epilation dose which was known to be safe, as proved by clinical results. This tint was measured directly both by daylight and by artificial light from an 8-candle power carbon filament lamp with frosted glass shade. I am indebted to Mr. Dean for suggesting the use of Lovibond’s instrument for this purpose.

The methods employed in the experimental work have been described in the British Journal of Dermatology for August, 1913. By using a very constant focus tube and averaging a large number of readings and correlating the results with those obtained in clinical practice, we were able to construct the curves indicating the colour developed by the pastille. In these curves, shown in [Fig. 10], the ordinates are the Lovibond colour units, the abscissa the time during which the current was actually passing. When using an interrupter working at a constant speed, the actual time was taken, otherwise the number of current interruptions as measured by a dipper tachymeter was used.

As was to be expected, the daylight and electric light curves were quite different. In each case the standard yellow glasses employed were kept constant throughout the curve, that for daylight being 15 units, that for electric light 13 units. When these were combined with blue and red glasses in varying units and fractions of a unit, they gave a colour range which matched the pastille exactly in the changes it undergoes from the unexposed condition to the 2 B Tint.