An international intercomparison of the dosimetry of three beta particle emitting ophthalmic applicators was performed, which involved measurements with radiochromic film, thermoluminescence dosimeters (TLDs), alanine pellets, plastic scintillators, extrapolation ionization chambers, a small fixed-volume ionization chambers, a diode detector and a diamond detector. The sources studied were planar applicators of 90Sr-90Y and 106Ru-106Rh, and a concave applicator of 106Ru-106Rh. Comparisons were made of absolute dosimetry determined at 1 mm from the source surface in water or water-equivalent plastic, and relative dosimetry along and perpendicular to the source axes. The results of the intercomparison indicate that the various methods yield consistent absolute dosimetry results at the level of 10%-14% (one standard deviation) depending on the source. For relative dosimetry along the source axis at depths of 5 mm or less, the agreement was 3%-9% (one standard deviation) depending on the source and the depth. Crucial to the proper interpretation of the measurement results is an accurate knowledge of the detector geometry, i.e., sensitive volume and amount of insensitive covering material. From the results of these measurements, functions which describe the relative dose rate along and perpendicular to the source axes are suggested.

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The most recent electron dosimetry code of practice for radiotherapy written by the Institute of Physics and Engineering in Medicine was published in 2003 and is based on the NPL electron absorbed dose to water calibration service. NPL has calibrated many Scanditronix type NACP-02 and PTW Roos type 34001 parallel plate ionization chambers in terms of absorbed dose to water, for use with the code of practice. The results of the calibrations of these chamber types summarized here include the absorbed dose to water sensitivity, where the mean calibration factor standard deviations are 5.8% for NACP-02 chambers and 1.1% for PTW Roos chambers. The correction for the polarity effect is shown to be small (less than 0.2% for all beam qualities) but with a discernible beam quality dependence. The correction for recombination is shown to be consistent and reproducible, and an analysis of these results suggests that the plate separation of the NACP-02 chambers is more variable from chamber to chamber than with the PTW Roos chambers. The calibration of these chambers is shown to be repeatable within +/-0.2% over 2-3 years. It is also shown that check source measurements can be repeated within +/-0.3% over several years. The results justify the use of NACP-02 and PTW 34001 chambers as secondary standards, but also indicate that the PTW 34001 chambers show less variation from chamber to chamber.

Background and purpose: Audit is imperative in delivering consistent and safe radiotherapy and the UK has a strong history of radiotherapy audit. The National Physical Laboratory (NPL) has undertaken audit measurements since 1994 and this work examines results from these audits. Materials and methods: This paper reviews audit results from 209 separate beams from 82 on-site visits to National Health Service (NHS) radiotherapy departments conducted between June 1994 and February 2015. Measurements were undertaken following the relevant UK code of practice. The accuracy of the implementation of absorbed dose calibration across the UK is quantified for MV photon, MeV electron and kV X-ray radiotherapy beams. Results: Over the measurement period the standard deviation of MV photon beam output has reduced from 0.8% to 0.4%. The switch from air kerma-to absorbed dose-based electron code of practice contributed to a reduction in the difference of electron beam output of 0.6% (p < 0.01). The mean difference in NPL to local measurement for radiation output calibration was less than 0.25% for all beam modalities. Conclusions: The introduction of the 2003 electron code of practice based on absorbed dose to water decreased the difference between absolute dose measurements by the centre and NPL. The use of a single photon code of practice over the period of measurements has contributed to a reduction in measurement variation. Within the clinical setting, on-site audit visits have been shown to identify areas of improvement for determining and implementing absolute dose calibrations.

Objective: A calibration service based on a primary standard calorimeter for the direct determination of absorbed dose for proton beams does not exist. A new Code of Practice (CoP) for reference dosimetry of proton beams is being developed by a working party of the UK Institute of Physics and Engineering in Medicine (IPEM), which will recommend that ionisation chambers are calibrated directly in their clinical beams against the proposed Primary Standard Proton Calorimeter (PSPC) developed at the National Physical Laboratory (NPL). The aim of this work is to report on the use of the NPL PSPC to directly calibrate ionisation chambers in a low-energy passively scattered proton beam following recommendations of the upcoming IPEM CoP. Approach: A comparison between the dose derived using the proposed IPEM CoP and the IAEA TRS-398 protocol was performed, and k_Q values were determined experimentally for three types of chambers. In total, 9 plane-parallel and 3 cylindrical chambers were calibrated using the two protocols for two separate visits. Main results: The ratio of absorbed dose to water obtained with the PSPC and with ionisation chambers applying TRS-398 varied between 0.98 and 1.00, depending on the chamber type. The new procedure based on the PSPC provides a significant improvement in uncertainty where absorbed dose to water measured with a user chamber is reported with an uncertainty of 0.9% (1σ), whereas the TRS-398 protocol reports an uncertainty of 2.0% and 2.3% (1σ) for cylindrical and plane-parallel chambers, respectively. The k_Q values found agree within uncertainties with those from TRS-398 and Monte Carlo calculations. Significance: The establishment of a primary standard calorimeter for the determination of absorbed dose in proton beams combined with the introduction of the associated calibration service following the IPEM recommendations will reduce the uncertainty and improve consistency in the dose delivered to patients.