To the Editor.—
The editorial in the July 1989 issue of the ARCHIVES requires a response. Burns1 confuses grenz ray therapy with superficial radiation, overestimates the cancer risk following grenz ray therapy, and thereby invites confusion.
A common mistake made by Burns in this editorial is grouping grenz ray with other x-ray modalities, and it is the purpose of this letter to report the existing risk estimates and to clarify the confusion between grenz rays and superficial x-rays.
Grenz ray is defined as that x-ray having a half-value layer between 0.016 and 0.035 mm of aluminum, or a tube voltage of from 10 to 15 kV (50% of grenz rays are absorbed by 0.5 mm of skin).2
Burns1 states, "Nevertheless, several studies have established the carcinogenicity of skin radiation therapies by conducting long-term follow-up of patients exposed to ionizing radiation in the form of low-voltage x-rays or
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