Juvenile plantar dermatosis responding to topical tacrolimus ointment.
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Biomedical subjects
Publications and source records attributed to D R Shipley.
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The National Physical Laboratory (NPL) provides a high-energy photon calibration service using 4-19 MV x-rays and 60Co gamma-radiation for secondary standard dosemeters in terms of absorbed dose to water. The primary standard used for this service is a graphite calorimeter and so absorbed dose calibrations must be converted from graphite to water. The conversion factors currently in use were determined prior to the launch of this service in 1988. Since then, it has been found that the differences in inherent filtration between the NPL LINAC and typical clinical machines are large enough to affect absorbed dose calibrations and, since 1992, calibrations have been performed in heavily filtered qualities. The conversion factors for heavily filtered qualities were determined by interpolation and extrapolation of lightly filtered results as a function of tissue phantom ratio 20,10 (TPR20,10). This paper aims to evaluate these factors for all mega-voltage photon energies provided by the NPL LINAC for both lightly and heavily filtered qualities and for 60Co y-radiation in two ways. The first method involves the use of the photon fluence-scaling theorem. This states that if two blocks of different material are irradiated by the same photon beam, and if all dimensions are scaled in the inverse ratio of the electron densities of the two media, then, assuming that all photon interactions occur by Compton scatter the photon attenuation and scatter factors at corresponding scaled points of measurement in the phantom will be identical. The second method involves making in-phantom measurements of chamber response at a constant target-chamber distance. Monte Carlo techniques are then used to determine the corresponding dose to the medium in order to determine the chamber calibration factor directly. Values of the ratio of absorbed dose calibration factors in water and in graphite determined in these two ways agree with each other to within 0.2% (1sigma uncertainty). The best fit to both sets of results agrees with values determined in previous work to within 0.3% (1sigma uncertainty). It is found that the conversion factor is not sensitive to beam filtration.
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The National Physical Laboratory provides a megavoltage photon calibration service for secondary standard dosemeter systems in terms of absorbed dose to water using a graphite calorimeter. It is therefore necessary to evaluate factors to convert absorbed dose calibrations from graphite to water for all energies provided by the calibration service. A portable graphite calorimeter is currently being developed at the NPL for measuring absorbed dose in the radiotherapy clinic (McEwen and Duane 2000 Phys. Med. Biol. 45 3675-91) and so factors are now required to be able to convert absorbed dose calibrations from graphite to water in the clinical beam. The factors used to convert absorbed dose calibrations from graphite to water which are currently in use at the NPL were determined in previous work by Burns and Dale (1990 NPL Report RSA (EXT) 7) for all photon energies provided by the high-energy x-ray calibration service. Nutbrown et al (2000 NPL Report CIRM 37) have since re-evaluated these conversion factors using two methods. In this paper the factors to convert absorbed dose calibrations from graphite to water for two clinical beams from a Philips SL15 LINAC (6 and 10 MV) that were determined using both methods are presented and compared with values for the NPL heavily filtered beams. The results from the measurements made on the clinical machines using both methods agree within 1sigma uncertainty. The weighted average of these results agrees to within 1sigma uncertainty with results given by Burns and Dale and Nutbrown et al. The uncertainty in the determination of the graphite to water conversion factors at the 1sigma level is estimated to be 0.4%.