Cooperative clinical trial group protocols frequently require off-axis
point dose calculations. The Radiological Physics Center uses the cal
culative technique developed by Hanson et al. [Med. Phys. 7, 145-146 (
1980); 7, 147-150 (1980)] to verify these calculations. In order to co
rrect for off-axis energy changes, this technique requires off-axis ha
lf-value layer data, HVL, as a function of off-axis ray angle for the
specific beam. This paper presents a formulism based on HVL measuremen
ts on a limited number of therapy beams, which allows the calculation
of an off-axis energy-correction factor for any clinical photon beam c
reated by a linear accelerator using conventional flattening filters.
(C) 1998 American Association of Physicists in Medicine.