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Some TPS’s require CT calibration tables in terms of

relative mass density

e.g. in point kernel dose calculation engines it is TERMA and point kernels that are

scaled

( )

( )

(

)

( )

(

)

r

dr r r

medium rMV

o

e

r

medium

rMV

rT

0

'

'

'

,' ,

, ,

Effective (spectrum averaged) mass attenuation

coefficient at radiological distance r for the

medium with certain density

Primary energy fluence at the surface

Mass attenuation coefficients usually pre-stored as weighted averages for an

energy spectrum and for media with different composition and mass density

N

CT

relative mass density and material composition

mass attenuation coefficient and linear attenuation coefficient

e.g. in Pinnacle, TomoTherapy PS