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0.0

0.5

1.0

1.5

0

20

40

60

distance from central axis [cm]

6MV

10MV

15MV

18MV

Peripheral equivalent dose:

neutrons

% of tumor dose

0.0

0.5

1.0

1.5

0

20

40

60

distance from central axis [cm]

6MV

10MV

15MV

18MV

Peripheral equivalent dose:

photons

% of tumor dose

Kry et al 2005

Neutrons:

important for energies > 10 MV

For 18 MV,

neutrons

are more important than

photons

for large distances

Prostate IMRT plans

14

Equivalent dose

Measured peripheral photon and neutron

equivalent doses