“…Furthermore, the new standards of absorbed dose to water offer the possibility of reducing the uncertainty in the dosimetry of radiotherapy beams, provide a more robust system of primary standards than air kerma based standards, and allow the use of a simple formalism 3 . Following the development of standards of absorbed dose to water and national dosimetry protocols, pioneered by the UK (Burns et al 1988, IPSM 1990 and Germany (DIN 1997, Hohlfeld 1988) more than ten years ago, new dosimetry protocols based on the use of an ionization chamber calibrated in terms of absorbed dose to water in a 60 Co γ -ray beam, N D,w , together with calculated beam quality correction factors k Q have been published in Russia (Gosstandart 1990), in North America, AAPM TG-51 (Almond et al 1999) and by the IAEA, TRS-398 . Many laboratories already provide calibrations at the radiation quality of 60 Co γ -rays and some have extended calibrations to high-energy photon and electron beams, modalities initiated in the UK by Burns et al 1988 andMcEwen et al (2001), respectively, and followed for photon beams by the laboratories of Australia, Canada, Belgium, France, Italy, Switzerland, etc (see references in Andreo (2000)).…”