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Page Background

H only reflects attenuation coefficient of

tissue to diagnostic x-ray energies

Electron density insufficient for protons

Need RSP and Z

Proton interactions:

• Electronic

– ionization

– excitation

• Nuclear

– Multiple Coulomb scattering, small

θ

– Elastic nuclear collision, large

θ

– Nonelastic nuclear interaction

B Schaffner. Phys. Med. Biol. 43 (1998)

Matsufuji (2003) looked at extending stoiciometric for multiple scattering

And found up to 10% errors but minimum effect on patient distributions