Regular and Frequent checking of x-ray machines is needed to assure accurate dosage values in therapy. Theoretically, the best solution is to measure the output intensity with a Victoreen or similar dosimeter at least once weekly. Unfortunately, the nature of such instruments and measurements normally prevents delegating this task to a technician, and frequent regular checking appears to be limited to larger hospitals and teaching institutions. A more rugged and inexpensive but still accurate instrument, designed specifically for this purpose, is desirable. Both film and ionization chamber monitoring methods have been discussed in the literature. Film monitoring of x-ray output appears to be of limited promise, because of the considerable technical problems involved and the inherent ambiguity in interpretation of density readings (1). Ionization chamber monitors offer the advantage over Victoreen or similar units that the measuring device is permanently mounted in a reproducible location, eliminating positioning errors (2). While readings of such units are of course responsive to tube housing temperature changes (3), this does not present a serious problem if the test is carried out after a prescribed daily warm-up procedure. Early monitor chamber units, such as the well known Weatherwax design, were of copper, with substantial air volumes. As a result, they produced large enough ionization currents to yield a direct reading on a sensitive panel galvanometer. Unfortunately, most modern x-ray machines can accommodate only small monitor chambers; the reduced current necessitates the use of electronic amplification, with some corresponding operation and maintenance problems. In addition, the indications of commercial monitor chambers are frequently not accurately proportional to roentgen intensity. The system to be described here attempts to overcome some of these problems by special chamber design and the use of a condenser discharge method to measure ionization current instead of an amplifier (Figs. 1 to 3). It consists of three units: an ionization chamber mounted beneath the filter, a portable polystyrene capacitor-electroscope assembly, and a charger unit for the capacitor. In use, the capacitor unit is first charged so that the electroscope (a 0–200 mr self-reading pocket dosimeter) reads 0 mr. It is then plugged across the chamber in the tube housing. The machine is operated at useful factors for a time specified by the physicist at calibration. The resulting “milliroent-gen” reading is a direct measure of the current x-ray output rate. For example, if the reading at calibration was 180 mr, and it is reduced 18 mr to 162 mr, a 90 per cent intensity reading is noted in the daily record and reported to the therapist. Design and Operation Considerations Figure 4 shows the construction of the most recent monitor ionization chamber.
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