A combination of Monte Carlo, convolution, and experimental techniques
have been used to investigate bremsstrahlung production at 50 MeV in
full-range targets to produce narrow elementary photon beams for scann
ing. Calculations using the ITS 3.0 Monte Carlo system for various tar
get designs, including particle transport through the treatment head o
f an MM50 racetrack microtron and a water phantom, have been compared
to experimental dose profiles from narrow photon beams at 10-cm depth
in water. A reduction in the ITS 3.0 default substep size has been fou
nd necessary even for incomplete agreement, in consistency with the fi
ndings of Faddegon and Rogers [Nucl. Instrum. Meth. A 327, 556-565 (19
93)] for a different experimental setup and energy using the previous
version of ITS. Results show that the calculated shape of the tail of
dose distributions from narrow photon beams agrees well with measureme
nts, but CYLTRAN/ITS 3.0 fails to reproduce the central part of the di
stribution. The discrepancy at small angles, reported previously for E
GS4 and ITS 2.1 simulations, possess a limitation to Monte Carlo simul
ations of narrow photon beams used in scanned systems of clinical acce
lerators. Radial dose profiles have been calculated by convolution of
the energy fluence at the exit of the target with one polyenergetic Mo
nte Carlo calculated dose kernel and also a database consisting of ten
different dose kernels corresponding to different monoenergetic photo
n pencil beams for comparison. The agreement with the much slower full
y detailed Monte Carlo calculations was better when using the database
kernels than the polyenergetic kernel. Results for the mean energy, m
ean polar angle, and energy fluence at different depths within various
targets have been obtained. These are discussed in the context of the
design characteristics of bremsstrahlung targets with emphasis on the
ir utilization for scanning photon beam techniques. (C) 1996 American
Association of Physicists in Medicine.