The American Association of Physicists in Medicine (AAPM) presents a new pr
otocol, developed by the Radiation Therapy Committee Task Group 61, fur ref
erence dosimetry of low- and medium-energy x rays for radiotherapy and radi
obiology (40kV less than or equal to tube potential less than or equal to 3
00 kV). It is based on ionization chambers calibrated in air in terms of ai
r kerma. If the point of interest is at or close to the surface, one unifie
d approach over the entire energy range shall be used to determine absorbed
dose to water at the surface of a water phantom based on an in-air measure
ment (the "in-air" method), If the point of interest is at a depth, an in-w
ater measurement at a depth of 2 cm shall be used for tube potentials great
er than or equal to 100 kV (the "in-phantom'' method). The in-phantom metho
d is not recommended for tube potentials <100 kV. Guidelines are provided t
o determine the close at other points in water and the dose at the surface
of other biological materials of interest. The protocol is based on an up-t
o-date data set of basic dosimetry parameters, which product: consistent do
se values for the two methods recommended, Estimates of uncertainties on th
e final dose values are also presented. (C) 2001 American Association of Ph
ysicists in Medicine.