ABSTRACT

Ionisation Chambers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279

Pedro Andreo, Alan Nahum, and David Thwaites

Chapter 16

Radiothermoluminescent Dosimeters and Diodes . . . . . . . . . . . . . . . . . . . . . . . . . . 303

Ginette Marinello

Chapter 17

Radiation Sensitive Films and Gels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321

Mark Oldham

Chapter 18

Absolute Dose Determination under Reference Conditions . . . . . . . . . . . . . . . . . . 333

Pedro Andreo and Alan Nahum (with David Thwaites)

Chapter 19

Relative Dose Measurements and Commissioning . . . . . . . . . . . . . . . . . . . . . . . . . . 367

Ivan Rosenberg

Appendix D

Supplementary Details on Codes of Practice for Absolute Dose Determination . . . 385

Pedro Andreo and Alan Nahum

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

Dose measurement is essential in radiation therapy. The dose delivered to the patient is

required to be known with an accuracy, at worst, of the order of 5% to 7%, taken to be the

95% confidence level (ICRU 1976; Dutreix 1984; Mijnheer et al. 1987) as discussed further in

Section 37.4. The dose finally delivered to the patient is the end result of a complex sequence,

involving several steps and many processes and parameters, and each contributing component

must have an appropriately higher accuracy to achieve this overall value. In particular, the

beams generated from the treatment machines should be calibrated with an accuracy

approaching 1%. In this Part, Chapter 15 to Chapter 17 describe the dosimeters that are

commonly used in radiation therapy departments and in Chapter 18 and Chapter 19 the

methodology of beam calibration and the acquisition of the experimental data needed for

patient dose calculations is discussed. A minimum knowledge of clinical beam properties is

useful for a better understanding of the methodology for dose measurement, for which it will

occasionally be useful to refer to Part E (Clinical Beams).