Output calibration in solid water for high energy photon beams

The AAPM Protocol recommends the use of water, polystyrene or acrylic media for measuring the output of high energy photon beams. It provides the appropriate restricted mass stopping powers and mass energy absorption coefficients for converting the dose to these media to dose to water. A water-equivalent solid has been developed for dosimetric applications. [C. Constantinou, F. Attix, and B. Paliwal, Med. Phys. 9, 436 (1982)]. Calculated values for the restricted mass stopping powers and mass energy absorption coefficients have been published for this material. [A. Ho and B. Paliwal, Med. Phys. 13, 403 (1986)]. The accuracy of these calculations was investigated by making output measurements, following the Protocol, with a Farmer type chamber in four materials for Co-60, 4, 6, 10, 18, and 24 MV photon beams. The results show that the scaled dose to water for the different media agree to better than 1%, and the analysis supports the methodology of the Protocol for obtaining the dose to water from the different media