Calorimetry has a long history as a technique for establishing the abs
orbed dose, and graphite calorimetry has often been used to establish
absorbed dose standards for use in radiation therapy. However, a conve
rsion process is necessary to convert from dose to graphite to dose to
water, which is the quantity of clinical interest. In order to more d
irectly measure the dose to water, considerable effort has been devote
d in the last fifteen years to the development of water calorimetry. T
his article reviews these developments and summarizes the present stat
us of water calorimetry. Absorbed dose standards based on water calori
metry and with a relative standard uncertainty of 0.5-1% now seem achi
evable.