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The computed tomography dose index (CTDI) measured with a 10 cm long pencil ionization chamber placed in a 14 cm long PMMA phantom is typically used to evaluate the doses delivered during CT procedure. For the new generation of CT scanners, the efficiency of this methodology is low because it excludes the contribution of radiation scattered beyond the 100 mm range of integration along z. The AAPM TG111 Report proposes a new measurement modality using a small volume ionization chamber positioned in a phantom long enough to establish dose equilibrium at the location of the chamber. In this work, the AAPM report was implemented. The minimum scanning length needed to obtain cumulative dose equilibrium was evaluated. The equilibrium dose was determined and compared to CTDI values informed by the CT scanner, and the dose values were confirmed with TLD measurements. The difference between doses measured with TLD and with the ionization chamber (IC) was below 1% and the repeatability of the measurements' setup was 0.4%. The measurements showed that the scanning lengths needed to reach the cumulated dose equilibrium were 450 mm and 380 mm for the central and peripheral axes, respectively, which justifies the phantom length. For the studied clinical protocols, the doses measured were about 30% higher than those informed by the CT scanner. For the new generation of CT systems with wider longitudinal detector size or cone‐beam technology, the current CTDI measurements may no longer be adequate, and the informed CTDI tends to undervalue the dose delivered. It is therefore important to evaluate CT radiation doses following the AAPM TG111 methodology.PACS number: 87.57.qp, 87.53.Bn

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Diamond exhibits a range of outstanding properties that make it a material of interest for radiation detection and particularly in the field of dosimetry applications. In fact, its crystallographic structure makes it chemically inert and radiation hard. Moreover, its atomic number (carbon Z = 6) close to the equivalent effective atomic number of human soft tissues (Z = 7.4) and of water (reference material in radiotherapy) enables a direct evaluation of the deposited dose without requiring corrections for material nature or energy. Finally, as a bio‐compatible material, it can be sterilised, and it is non‐toxic thus giving strong advantages for medical uses. Natural diamonds are expensive, rare and their use implies a severe gem selection to fabricate reproducible and reliable devices. The emergence of synthetic samples from the chemical vapour deposition (CVD) technique offers new possibilities in the fabrication of ionisation chamber for the particular field of radiotherapy. Previous studies have shown that defect levels present in material clearly influence the device response under irradiation. Therefore, in order to optimise dosimetric characteristics needed in radiotherapy applications, various low and precisely nitrogen concentrations were incorporated in the material during growth. Influence of these incorporations on ionisation chamber response under medical cobalt irradiator is presented in this paper. (© 2006 WILEY‐VCH Verlag GmbH & Co. KGaA, Weinheim)

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