A comparison of ionization-chamber and water-calorimeter dosimetry for high-energy x rays.

The temperature-regulated, flexible, water calorimeter developed in the authors' laboratory was shown previously to yield a dose-to-water from 4-MV x rays that is in very close agreement with ionization measurements made in accordance with the AAPM dosimetry protocol. The range of beam energies for this type of comparison has been increased to include 60Co, and 4-, 6- and 25-MV x rays. The grand mean of the ratios of doses obtained from the calorimeter and ionization chamber, the Cal/Ion ratio, for the four beam energies studied is 1.001 +/- 0.001. As no significant trend with beam energy was detected, it is concluded that the calorimeter and ionization chamber yield equally accurate results. Because the calibration of the calorimeter depends solely upon the accuracy with which water temperatures in the range 2-10 degrees C can be measured, and dose is given by the product of the specific heat of water and the temperature change produced by irradiation, the water calorimeter has the potential to place radiation dosimetry on a much firmer foundation than presently exists.