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Kernel-based methods:

Rectilinear density rescaling of the kernel

s

‘Rectilinear’ rescaling with the

mean

relative density

along the path

between s and r:

( )

( )

s

s

r

r

r

rr

ρ

1

(

)

(

)

)

() ,( ,

) ,(

)(

, ,

2

s r sr

E h sr

r

srEh

rel

water

rel

water

r r rr

rr

r

rr

− ⋅

=

ρ

ρ

ρ

ρ

this would be the

kernel dose in a

adapted from Woo and

Cunningham 1990

(Med. Phys. 17(2))

ESTRO IMRT course 2016

Dose Calculation in Static and Rotational IMRT

London April 7th, 2016

-31-

r

=

r

water

rel

sd

s r

sr

r

r r

ρ

ρ

,

The point kernel dose

is dependent on

location

inside of inhomogeneous media

(patient!)

efficient numerical dose calculation w.

fast fourier transform not possible without

further approximations

homogeneous

medium: h

water

!

…and after

rectilinear

rescaling