The range-modulated pencil beam algorithm (RMPBA) has been developed for pr
oton treatment planning on the basis of the pencil beam algorithm (PBA) to
reduce the calculation time yet realize sufficient accuracy. It uses the de
pth-dose distribution of the range-modulated beam as a central-axis term of
pencil beams. The spread of the range-modulated pencil beam is derived by
assuming that the protons pass through the average thickness of the ridge-f
ilter. The accuracy of dose calculations by the RMPBA is verified by compar
ison with dose measurements in water performed using a silicon semiconducto
r detector. The results of the measured dose distributions agree well with
those of the calculations using the RMPBA, Furthermore. the calculation tim
e required by the RMPBA is one-sixth of that required by the PBA in the cas
e of the six-step ridge-filter. Therefore, the dose-calculation method by t
he RMPBA will be useful and applicable to actual treatment planning of prot
on therapy.