The convolution/superposition method was used to predict the dose thro
ughout an extended volume, which includes a phantom and a portal imagi
ng device. From the calculated dose volume, the dose delivered in the
portal image plane was extracted and compared to a portal dose image.
This comparison aids in verifying the beam configuration or patient se
tup after delivery of the radiation. The phantoms used to test the acc
uracy of this method include a solid water cube, a Nuclear Associates
CT phantom, and an Alderson Rando thorax phantom. The dose distributio
n in the image plane was measured with film and an electronic portal i
maging device in each case. The calculated portal dose images were wit
hin 4% of the measured images for most voxels in the central portion o
f the field for all of the extended volumes. The convolution/superposi
tion method also enables the determination of the scatter and primary
dose contributions using the particular dose deposition kernels for ea
ch contribution. The ratio of primary dose to total dose was used to e
xtract the primary dose from the detected portal image, which enhances
the megavoltage portal images by removing scatter blurring. By also p
redicting the primary energy fluence, we can find the ratio of compute
d primary energy fluence to total dose. Multiplying this ratio by the
measured dose image estimates the relative primary energy fluence at t
he portal imager. The image of primary energy fluence possesses higher
contrast and may be used for further quantitative image processing an
d dose modeling. (C) 1996 American Association of Physicists in Medici
ne.