Radiotherapy Dosimetry Protocols For High Energy Photons And Electrons

One vital requirement in radiotherapy is to ensure as closely as possible consistency in determination of dose between different centers and at different times, both within a given country and internationally, because the comparison and transfer of clinical experience and the evaluation of clinical trials is dependent on common statements of dose delivered. In addition at each loon] centre it is vital that the absorbed dose calibration of each beam is carried out to exacting and consistent standards, as this is the fundamental measurement upon which the quality of all treatments on that machine depend throughout its clinical lifetime. The systems in place to ensure consistency in dosimetry differ in the details from country to country, but all depend on the same basic considerations: - the use of ion chambers of similar design and similar construction materials, - traceable calibrations of these chambers to an accredited primary or secondary standard dosimetry laboratory (SSDL) in terms of some agreed relevant dosimetric quantity, - dose statements in terms of absorbed dose to a common material, water, - the application of an appropriate recommended national or international dosimetry protocol (or code of practice) which ensures commonality in the method of use of the calibrated ion chamber, the radiotherapy treatment beam calibration conditions and any data required to convert the ion chamber reading to absorbed dose to water, and - strict quality control on each step in this process