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Secondary barriers are designed to protect individuals beyond the treatment room from:

Leakage:

dependent on design, typically limited to 0.1 to 0.2% of the primary beam

originates from target - not necessarily via the isocentre. IMRT -> the leakage

radiation can be significantly increased (a factor of 10 is often assumed).

Secondary Sources in External Beam RT

Scatter:

assumed to come from the patient and room walls. Difficult to calculate - use

largest field size for measurements the lower the radiation energy, the more of a

concern for photon beams.