In recent years, the increased use of proton beams for clinical purpos
es has enhanced the demand for accurate absolute dosimetry for protons
. As calorimetry is the most direct way to establish the absorbed dose
and because water has recently been accepted as standard material for
this type of beam, the importance of water calorimetry is obvious. In
this work we report water calorimeter operation in an 85-MeV proton b
eam and a comparison of the absorbed dose to water measured by ionomet
ry with the dose resulting from water calorimetric measurements. To en
sure a proper understanding of the heat defect for defined impurities
in water for this type of radiation, a relative response study was fir
st done in comparison with theoretical calculations of the heat defect
. The results showed that pure hypoxic water and hydrogen-saturated wa
ter yielded the same response with practically zero heat defect, in ag
reement with the model calculations. The absorbed dose inferred from t
hese measurements was then compared with the dose derived from ionomet
ry by applying the European Charged Heavy Particle Dosimetry (ECHED) p
rotocol. Restricting the comparison to chambers recommended in the pro
tocol, the calorimeter dose was found to be 2.6% +/-0.9% lower than th
e average ionometry dose. In order to estimate the significance of cha
mber-dependent effects in this deviation, measurements were performed
using a set of ten ionization chambers of five different types. The ma
ximum internal deviation in the ionometry results amounted to 1.1%. We
detected no systematic chamber volume dependence, but observed a smal
l but systematic effect of the chamber wall thickness. The observed de
viation between calorimetry and ionometry can be attributed to a combi
nation of the value of (W-air/e)(p) for protons, adopted in the ECHED
protocol, the mass stopping power ratios of water to air for protons,
and possibly small ionization chamber wall effects. (C) 1996 American
Association of Physicists in Medicine.