AbstractID: 8626 Title: Verification of Measured Beam Characteristics for Small Stereotactic Radiosurgery Fields using Various Ionization Chambers and Radiochromic film with Monte Carlo Technique In Stereotactic Radiosurgery (SRS) the empirical dose method comprises the use of measured data, such as tissue maximum ratio, off axis ratio, and output factor. However, this dosimetric approach fails because of lateral electronic disequilibrium in small field sizes, consequently, leading to inaccurate dose distribution to the target. The use of Monte Carlo (MC) technique for computation of dose in radiotherapy has proven to overcome this inadequacy. This paper will attempt to verify the efficacy of Monte Carlo technique in dose calculation for small field SRS beams. We utilized the OMEGA BEAM code to model a 6MV photon beam using collimator sizes of 7.5 mm, 1 cm, and 4 cm in diameter. Calculated beam characteristics (%DD, lateral profiles, and output factors) were subsequently compared to the measured data. Quantitative measurements were made using a cylindrical ionization chamber with a collecting volume of 0.015 cm3, a parallel plate ionization chamber with a collecting volume of and 0.002 cm3, and a diamond ionization chamber as well as radiochromic film dosimetry. Our results showed a favorable agreement between calculated and measured percent depth dose for 7.5 mm, 1 cm, and 4 cm field size collimators. Calculated beam profiles of 1 cm and 4 cm field size at 1.5 cm, 5 cm, and 10 cm depths were within 3% difference of the measured data. The output factors showed a significant dependency on the collecting volume size of the ionization chamber used. The difference between the measured and calculated output factors were less than 4%.