We calculated bremsstrahlung spectra using the Monte Carlo method taki
ng into consideration electron energy distribution and multiple scatte
ring in a target, which were neglected in the semiempirical models of
Birch and Marshall (BM) [Phys. Med. Biol. 24 (1979) 505) and Tucker et
al. (TBC) [Med. Phys. 18 (1991) 211]. We compared our results with th
e spectra measured by Fewell et al. and those calculated by BM- and TB
C-models, and discussed the effects of the electron energy distributio
n on the bremsstrahlung spectra. Our results agreed with the spectra m
easured by Fewell et al., for a variety of radiographic conditions use
d in medical diagnosis. Spectra calculated using the BM model agreed r
oughly with measured data, but tended to deviate as target angle decre
ased. Spectra calculated using the TBC model agreed with measured data
for an X-ray tube with the target angle of 10-degrees, but disagreed
for other X-ray tubes. As a result, we showed that electron energy dis
tribution had significant effects on the calculation of bremsstrahlung
spectra for medical use.