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IAEA/AAPM formalism for reference dosimetry

composite MV photon fields

pcsr

Q

beam quality for the pcsr field

msr

pcsr

msr

pcsr

ref

msr

msr

o

o

pcsr

pcsr

pcsr

pcsr

f

f

Q Q

f

f

QQ QQ QwD

f

Q

f

Qw

k

k k

N M D

,

,

,

,

,

, ,

,

=

ref

pcsr

pcsr

f

f

Q Q

k

,

,

pcsr

f

represents a class of dynamic or step-and-shoot delivery fields,

or a combination of fields,

such that full CPE is achieved in a time

average sense at the position of the detector

For example, AAPM TG148 recommends:

A field that delivers a uniform 2Gy to a cylinder of 8cm diameter

and 10cm length, placed along the axis of a Virtual Water

Cclindrical phantom, using 5cm slice thickness and 0.287

pitch and 1.807 modulation factor