Prompt-gamma neutron activation (PGNA) is used to measure total-body nitrog
en and hydrogen in humans. Background interference in the gamma spectra ari
ses from both subject and shielding. A Monte Carlo simulation program (MCNP
4B2) was used to examine the neutron and gamma signals in the PGNA system (
(AmBe)-Am-241 source). N and H peak regions were assessed in the presence a
nd absence of calibration phantoms. The simulations suggested extracorporea
l H peak contributions of up to 30%, depending on subject body habitus. Mos
t N background could be attributed to detector pileup events. The MCNP resu
lts allowed us to improve shielding design and develop background correctio
n algorithms to improve measurement precision.