Ionization Chamber Dosimetry 103
size B and corrected for temperature, pressure, and recom-
bination losses); i.e.,
(3.42)
For measurements with the cylindrical chamber, Equa-
tion (3.42) is valid irrespective of field size
B, provided
that the chamber stem effect, on the order of 1% for rec-
tangular fields with high elongation factors, is accounted
for. With the phantom-embedded end-window chamber,
on the other hand, the air-kerma rate in free air calculated
from Equation (3.42) is correct only for field sizes B
identical to field size A, which was used during the cali-
bration procedure in the standards laboratory. For arbitrary
field size B, the air-kerma rate in free air (B) can be
determined with the phantom-embedded end-window
chamber using the following relationship: [21]
(3.43)
where
M(B) is the chamber reading, corrected for temper-
ature, pressure, and recombination losses, and measured
with field size B; N
K
(A) is the in-phantom air-kerma cali-
bration factor provided for field A by the standards labo-
ratory; and BSF
air
(A)/BSF
air
(B) is the ratio of air
kerma–based backscatter factors for fields A and B.
For a given field size , the backscatter factor
BSF
air
(
) is defined as the ratio of the air-kerma rate on
the surface of the phantom to the air-kerma rate
free in air ; i.e.,
(3.44)
This is in contrast to water kerma-based backscatter factor
BSF
w
(
), which is defined as the ratio of the water-kerma
rate on the phantom surface to the water-kerma rate
free in air , or
(3.45)
For a given field size
, the two backscatter factors
BSF
air
(
) and BSF
w
(
) are related through the following
expression:
(3.46)
where is the ratio of mass-energy absorp-
tion coefficients for water and air, averaged over the photon
energy fluence spectrum present on the phantom surface S
for field
, and is the ratio of mass-energy
absorption coefficients for water and air evaluated over
the primary x-ray energy fluence spectrum in air. [21]
The results for an x-ray effective energy of 34 keV
(120kVp) are presented in Figure 3.13. Angle
0°
corresponds to normal incidence, with the beam imping-
ing directly onto the polarizing electrode, and
180°
corresponds to normal incidence with the beam traversing
the body of the chamber.
In superficial and orthovoltage radiotherapy, the air-
kerma rate determined free in air is only of secondary
importance. It is the dose rate on patient’s surface obtained
for a given field size B which plays the most important
role in dose delivery and radiation dosimetry.
It is shown in Figure 3.14a that the chamber response
measured in phantom depends on beam energy and field
size in an expected fashion. In Figure 3.14b the chamber
response measured in air follows the expected behavior
for fields above 2.5
2.5 cm
2
, showing that for a given
beam energy, the chamber response is essentially indepen-
dent of field size. For a given beam energy and fields
smaller than 2.5 2.5 cm
2
, however, the chamber exhibits
a field size dependence, with the in-air chamber response
decreasing with field size, indicating that the scatter from
the chamber body has an effect on the chamber reading,
the effect diminishing with a decreasing field size.
Seuntjens and Verhaegen [22] examined the depth and
field size dependence of the overall correction factor k
ch
for in-phantom dose determinations in orthovoltage x-ray
beams. The overall correction factor is composed of three
contributions: a contribution from the angular dependence
of the chamber response free in air, derived from the mea-
sured directional response of the NE2571 for different
energies combined with Monte Carlo calculations; a dis-
placement effect; and a stem effect. The displacement effect
and stem effect are both calculated using the Monte Carlo
method for different field sizes and depths. The results
show a variation of, at most, 2.2% at the lowest photon
energies (29.8-keV average photon energy) when going
from 2 to 5 cm for a small circular 20-cm
2
field. In the
medium-energy range (100 kV), variations are limited
to, at most, 1.5% for 120 kV–150 kV when comparing
the most extreme variations in field size and depth
(i.e., 2-cm depth; 20-cm
2
area compared to 5-cm depth;
200-cm
2
area). Depth variations affect the overall correc-
tion factor most significantly by hardening of the photon
fluence spectrum, whereas field diameter variations affect
the factor by increase or decrease of contributions of pho-
ton scattering.
Absorbed dose to water is determined using the equa-
tion
(3.47)
K
˙
air
p
B() MN
k
K
air
p
K
˙
air
p
B() MB()N
K
A()
BSF
air
A()
BSF
air
B()
------------------------
K
air
s
()
BSF
air
()
K
˙
air
s
()
K
˙
air
p
()
------------------
K
w
s
()
K
w
p
()
BSF
w
()
K
w
s
()
K
w
p
()
----------------
BSF
w
()
BSF
air
()
------------------------
ab
()
air
w
[]
S
,
ab
()
air
w
[]
p
-----------------------------------
ab
/
()
air
w
[]
S
,
ab
/
()
air
w
[]
p
D
w
MN
K
en
--------
w,air
k
ch
Ch-03.fm(part 1) Page 103 Friday, November 10, 2000 11:58 AM