Calibration methodology application of kerma area product meters in situ: Preliminary results

The kerma-area product (KAP) is a useful quantity to establish the reference levels of conventional X-ray examinations. It can be obtained by measurements carried out with a KAP meter on a plane parallel transmission ionization chamber mounted on the X-ray system. A KAP meter can be calibrated in laboratory or in situ, where it is used. It is important to use one reference KAP meter in order to obtain reliable quantity of doses on the patient. The Patient Dose Calibrator (PDC) is a new equipment from Radcal that measures KAP. It was manufactured following the IEC 60580 recommendations, an international standard for KAP meters. This study had the aim to calibrate KAP meters using the PDC in situ. Previous studies and the quality control program of the PDC have shown that it has good function in characterization tests of dosimeters with ionization chamber and it also has low energy dependence. Three types of KAP meters were calibrated in four different diagnostic X-ray equipments. The voltages used in the two first calibrations were 50 kV, 70 kV, 100 kV and 120 kV. The other two used 50 kV, 70 kV and 90 kV. This was related to the equipments limitations. The field sizes used for the calibration were 10 cm, 20 cm and 30 cm. The calibrations were done in three different cities with the purpose to analyze the reproducibility of the PDC. The results gave the calibration coefficient for each KAP meter and showed that the PDC can be used as a reference instrument to calibrate clinical KAP meters. - Highlights: • The Patient Dose Calibrator (PDC) is a new equipment from Radcal that measures KAP. • This study aimed the calibration of KAP meters in situ using the PDC as a reference. • The method used for the calibration of the KAP meters was the tandem method. • This instrument calculates the dose that the patient receives during an X-ray examination. • The calibration procedure is important to correct the measurements performed with KAP meters