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방사선의 출력선량계수는 모든 선량계획과 치료선량결정에 영향을 주게 되므로, 정확한 선량평가가 강조되고 있다. 저자들은 물흡수선량을 결정하는 선량프로토콜을 종전의 TG-21에서 TG-51로 전환하여 2007년부터 새로운 버전과 새로운공동전리함으로 선량을 평가하기 위해 SSDL의 Nk를 NdwCo-60로 변환하여 적용하였다, 평가된 물흡수선량계수는 치료선량결정과 RPC의 선량모니터링을 통해 비교되었으며, 선량평가는 2% 이내를 보였지만 불안정성을 확인하게 되었으며,선량평가과정을 후향적으로 모니터하였다. 점검결과 새 전리함의 교정계수가 −2.8% 낮은 것을 확인하고 PSDL의 물흡수선량교정계수를 구하여 출력선량계수를 구하였으며, 선량평가 결과 2010년부터 안정되었고 지속적으로 1% 이내의 오차를 나타내었다.


This study is to keep the accuracy and stability of the output dose evaluations for linear accelerator photon beams by using the air ionization chambers (TM31010, 0.125 cc, PTW) through the Task Group 51 protocol. The absorbed dose to water calibration factor NdwCo-60 was delivered from the air kerma calibration factor Nk which was provided from manufacture through SSDL calibration for determination of output factor. The ionization chamber of TM31010 series was reviewed the calibration factor and other parameters for reduce the uncertainty within ±2% discrepancy and we found the supplied NdwCo-60 which was derived from Nk has shown a −2.8% uncertainty compare to that of PSDL. The authors provided the program to perform the output dosimetry with TG-51 protocol as it is composed same screen of TG-51 worksheets. The evaluated dose by determination of output factor delivered to postal TLD block for comparison the output dose to that of MDACC (RPC) in postal monitoring program. The results have shown the 1.001±0.013 for 6 MV and 0.997±0.012 discrepancy for 15 MV X rays for 5 years followed. This study shows the evaluated outputs for linear accelerate photon beams are very close to that of international output monitor with small discrepancy of ±1.3% with high reliability and showing the gradually stability after 2010.