Pencil ionization chambers are, employed for the direct determination of th
e computed tomography dose index (CTDI), which is used for patient dosimetr
y in CT examinations. The chambers are calibrated in air kerma length in a
reference x-ray field. The precision of calibration is influenced by severa
l factors which are investigated in the present work. It is shown that the
best irradiation length is 50% of the chamber rated length. The reading mus
t be corrected for a residual signal due to the irradiation of the sensitiv
e chamber volume by scattered radiation. The origin of this radiation is id
entified mainly at the edges of the diaphragm limiting the useful field. Th
e residual signal is determined by a linear fit of measurements performed a
t minimum of three diaphragm apertures. The optimum geometric conditions ar
e also discussed.