Variation in Dosimeter Calibration Factor (NDW) Over a Period of 20 Years
Manoj Kumar Semwal1, Harishchandra Gupta2, Sakshi Singhal2
1Department of Radiation Oncology, Army Hospital Research and Referral, Delhi, India.
Journal of Medical Physics
|September 27, 2021
Summary
COVID-19 pandemic caused delays in calibrating radiation dosimeters, raising concerns about patient dose accuracy. A 20-year review found the absorbed dose to water calibration factor (NDW) for ion chambers remained stable, < ±3% change.
Area of Science:
- Medical Physics
- Radiation Oncology
- Dosimetry
Background:
- COVID-19 pandemic disruptions led to extended calibration intervals for secondary standards radiation dosimeters.
- This raised concerns about the accuracy of absorbed dose to water calibration factors (NDW) in radiation oncology.
- Uncertainty in NDW can impact precise dose delivery to cancer patients.
Purpose of the Study:
- To retrospectively analyze the long-term stability of the absorbed dose to water calibration factor (NDW).
- To assess the impact of delayed calibrations on dosimeter accuracy in radiation oncology.
Main Methods:
- Reviewed 20 years of NDW calibration data for Farmer (thimble) and Markus (parallel plate) type ion chambers.
- Calibrations were performed at the Secondary Standards Dosimetry Laboratory, Bhabha Atomic Research Centre, Mumbai.
- Analyzed the percentage change in NDW over the 20-year period.
Main Results:
- The NDW factor for both ion chamber types exhibited minimal change over two decades.
- The observed change in the NDW factor was consistently less than ±3%.
- No significant drift or instability was detected in the calibration factors.
Conclusions:
- Radiation oncology dosimeters, specifically Farmer and Markus ion chambers without repair history, demonstrate remarkable stability in their NDW factors over extended periods.
- The stability suggests that occasional delays in calibration, such as those experienced during the COVID-19 pandemic, may not significantly compromise dose accuracy.
- These findings support the reliability of existing dosimetric equipment for accurate radiotherapy.
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