With the rapid application of nuclear technology, radiation protection is becoming more and more important. For external radiation protection, most of the national metrology institutes in the world have established the primary standard of X-ray air kerma in (10–250) kV and Cs-137 gamma ray, but the energy between 250 and 662 keV needs the establishment of traceability. To provide solution to such issue, a graphite cavity ionization chamber was constructed at National Institute of Metrology to measure the air kerma in (250–450) kV X-ray. The relative standard uncertainty of the method is 0.45%. Two different types of ionization chambers were used to measure the air kerma of N-300 radiation quality, and the result has a deviation of 0.09%.

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Accurate dose measurement is very important for diagnosing X-ray equipment. These equipment should be traced directly or indirectly to primary standard with as little uncertainty as possible. A parallel-plate free-air chamber was designed to measure air kerma of diagnostic X-ray absolutely. Different thickness of aluminium filters were used to obtain different radiation qualities according with IEC 61267. Correction factors were obtained by experiments and simulation, especially the air attenuation factor measured with vacuum method. The relative standard uncertainty of air kerma rate measurement was 0.46% and calibration factor was 0.53%. A transfer ionisation chamber was calibrated with Radiation Qualities in Radiation beams (RQR) qualities in National Research Council of Canada and National Institute of Metrology (NIM), the differences of calibration factors are less than 0.68%.