On the length used for CT ionization chambers to determine CTDI

Objective.Computed tomography dose index (CTDI) calculations based on measurements made with CT ionization chambers require characterization of two chamber properties: radiation sensitivity and effective length. The sensitivity of a CT ionization chamber is currently determined in some countries by calibration in an x-ray field that irradiates the entire chamber. Determination of the effective length is left to the user, and this value is frequently assumed to be equivalent to the nominal length-typically 100 mm-stated by the manufacturer. This assumption undermines the intention and usefulness of CTDI calculation. Thus, a slit-based calibration,N_KL, of the CT ionization chambers was proposed by collimating the x-ray beam to a well-defined aperture width. The aim of this work is to compare the two methods.Approach.Four different CT ionization chambers (Standard Imaging Exradin A101, Radcal 10x5-3CT, Victoreen 500-100, and Capintec PC-4P) are investigated in this work. Sensitivity profiles were measured for all four chambers and effective/rated chamber lengths were calculated. A novel Monte-Carlo based correction was proposed to account for the presence of the aperture. CTDI was calculated and compared for two calibration beams as well as for a commercial CT scanner using Exradin A101 and Radcal 10x5-3CT chambers.Main results.The nominal chamber length was found to deviate up to 21% compared to the effective length. Correction for the aperture depended on the aperture opening size. CTDI calculation results illustrate the potential 17% error in CTDI calculation that can be caused by assuming the effective chamber length is equivalent to the manufacturer's stated nominal length. CTDI calculations with CT ionization chambers calibrated with an air-kerma length calibration method yield the smallest variation in the CTDI regardless of the chamber model.Significance.To avoid an erroneous CTDI, information regarding the chamber's effective length must be included in the calibration or stated by the manufacturer. Alternatively, a slit-based calibration can be performed.