Hh. Liu et al., A DUAL SOURCE PHOTON-BEAM MODEL USED IN CONVOLUTION SUPERPOSITION DOSE CALCULATIONS FOR CLINICAL MEGAVOLTAGE X-RAY-BEAMS/, Medical physics, 24(12), 1997, pp. 1960-1974
A realistic model of photon beams generated by clinical linear acceler
ators has been incorporated in a convolution/superposition method to c
ompute dose distributions in photon treatment fields. In this beam mod
el, a primary photon source represents photons directly from the targe
t, and an extra-focal photon source represents scattered photons from
the primary collimator and the flattening filter. Monte Carlo simulati
on was used to study clinical linear accelerators producing photon bea
ms. From the output of the Monte Carlo simulation, the fluence and spe
ctral distributions of each photon component, as well as the geometric
al characteristics of each photon source with respect to its distance
to the isocenter and its source distribution, were analyzed. These qua
ntities were used to reproduce realistic photon distributions in treat
ment fields, and thus to compute dose distributions using the convolut
ion method. Our results showed that compared to the primary photon flu
ence, the extra-focal photon fluence from the primary collimator and t
he flattening filter was 11%-16% at the isocenter, among which 70% was
contributed by the flattening filter. The variation of extra-focal ph
otons in different treatment fields was predicted accurately by accoun
ting for the finite size of the extra-focal source. Compared to measur
ements, dose distributions in photon treatment fields, including those
of asymmetric jaw settings and at different SSDs were calculated accu
rately, particularly in the penumbral region, by using the convolution
method with the new dual source photon beam model. (C) 1997 American
Association of Physicists in Medicine.