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3

Physical processes in MV photon beams

Ahnesjö and Aspradakis, PMB 44 (1999), R99-155

Fluence

engine

Dose

engine

Primary

photon

energy

Primary charged

particle kinetic energy

Primary

energy

deposited

Scatter photon

energy

Scatter charged

particle kinetic

energy

Scatter energy

deposited

Bremsstrahlung and

annihilation photon

energy

Bremstrahlung and

annihilation charged

particle kinetic

energy

Bremsstrahlung

plus annihilation

energy deposited

Direct beam

phantom scatter

dose

Primary

dose

Photon radiant

energy exiting

the target

Treatment

head & air

Head scatter

photon energy

Interactions, predominantly in the flattening filter

Contaminant

charged

particles

Contaminant

charged

particle energy

deposition

Head scatter dose

Electron con-

tamination

dose

Head scatter charged

particle kinetic energy

Head scatter energy

deposited

Scatter photon

Scatter charged

particle kinetic

energy

Scatter energy

deposited

Bremsstrahlung and

annihilation photon

energy

Bremstrahlung and

annihilation charged

particle kinetic

energy

Bremsstrahlung

plus annihilation

energy deposited

Patient