Implementing a Phase II Quality Control Protocol for a High Precision 137 Cs Dosimetry Calibration Irradiator.

Abstract: In medical physics, rigorous quality assurance and quality control protocols are vital for precise dose delivery applications. In many health physics applications, the allowable uncertainty for various processes is often greater than that of medical physics due to looser safety ties. This results in less demand for quality control and uncertainty analyses, since these may not be needed. However, certain applications can benefit from a comprehensive quality control program, as it may yield important insights, such as air kerma monitoring in dosimetry calibrations for environmental and low-dose applications. By implementing a thorough quality control program tailored to specific contexts and needs, uncertainties associated with dose measurements can be quantified with greater accuracy and reliability. This proactive approach not only ensures the integrity of data collected but also enhances understanding of the measured doses. For these reasons, a comprehensive quality control initiative was implemented following documented failures in a 137 Cs dosimetry calibration irradiator. This involved systematic charge collection using NIST-traceable ion chambers to observe long-term changes. A Phase I quality control protocol was previously implemented, which employed Shewhart control charts and Nelson's rules to analyze various datasets subgrouped under different conditions. This study addresses the development of a Phase II protocol, which focuses more on uncertainty quantification of systematic errors and irradiator changes, and air kerma precision for dosimetry calibrations. A designed experiment was performed to identify how much systematic errors influence the air kerma. Emphasis was placed on stricter quality assurance protocols, continuous data collection, and additional control charts to monitor short-term changes, such as exponentially weighted moving average control charts. A pre-irradiation control process was implemented to verify that the total air kerma met the measurement quality objective and to show how various uncertainties were applied before calibration. This study indicates how uncertainty is applied given observed air kerma measurements from the irradiator. Ongoing efforts aim to streamline the quality control procedure, ensure consistent data collection, and assess its impact on dosimetry applications.