This paper investigates the effect of the waterproofing sleeve on the
calibration of kilovoltage photon beams (50-300 kV). The sleeve effect
correction factor, p(s), has been calculated using the Monte Carlo me
thod as the ratios of the air kerma in an air cavity of a cylindrical
chamber without the waterproofing sleeve to that with a sleeve. Three
sleeve materials have been studied, PMMA, nylon and polystyrene. The c
alculations were carried out using the EGS4 (Electron Gamma Shower ver
sion 4) code system with the application of a correlated-sampling vari
ance-reduction technique. The results show that the sleeve correction
factor for a I-mm thick PMMA waterproofing sleeve surrounding a Farmer
-type cylindrical chamber at 2 cm depth in water is about 0.991 at 50
kV (1.04 mm Al HVL) and 1.000 at 300 kV (21.5 mm Al HVL). For I-mm thi
ck nylon and polystyrene sleeves, p(s) varies from 0.992 to 1.000 and
from 0.981 to 1.000, respectively, for the same beam quality range. Th
e p(s) factor varies with sleeve thickness, beam quality and phantom d
epth. No significant dependence of the p(s) factor on field size and s
ource-surface distance has been found. Measurements for PMMA, nylon an
d polystyrene sleeves of various thicknesses have also been carried ou
t and show excellent agreement with the Monte Carlo calculations. (C)
1997 American Association of Physicists in Medicine.