The physics of imaging with metal/phosphor (Gd2O2S:Tb on brass) screens at megavoltage energies has been investigated using Monte Carlo simulation. It has been found that pair production is a significant contributor to energy deposition for Bremsstrahlung beams with energies greater than 6 MV. The effects of different thicknesses of phosphor and metal have been studied, and it is shown that the metal plays a significant role in establishing electronic equilibrium in the phosphor. The transport of optical photons through the phosphor has been modeled, and was found that only 10% to 20% of the light created in the phosphor escapes from the surface, with much of the loss being due to total internal reflection at the surface. Calculated results have been compared with experimental measurements of screen brightness for different phosphor and metal thicknesses. The SNR of a video electronic portal imaging device (VEPID) has been calculated as a function of x-ray and optical photon detection efficiency. The non-Poisson distribution of energy deposition in the phosphor is an important contributor to the SNR. The results of this paper should serve as a useful guide to the engineering design of future electronic portal imaging systems.

The quality of portal imaging is strongly affected by the source size of the radiotherapy machine. The effective source size of the dual-energy clinac 1800 (6 and 18 MV) was measured with a 50 microns wide and 120 mm long slit formed by two tungsten-copper alloy blocks. A series of slit images were obtained by translating the slit horizontally. The images were analyzed using a microdensitometer. The measured data was simulated using an analytical model of the source and its size was derived by a best-fit analysis. For both energies the FWHM was found to be 1.5 +/- 0.1 mm.

Detailed Monte Carlo electron transport simulations were carried out for the purpose of investigating the possibility of improving electron dose distribution for therapeutic applications, by using transverse magnetic fields. The case studied here is that of a 15 MeV electron beam of 6 cm diameter. The electrons pass through 4 cm of field-free tissue and a transverse magnetic field is applied for depth greater than 4 cm. A field of 3 T was found to improve the skin sparing factor by a factor of 2, when compared to field-free irradiation. A field of 2 T could also have a significant effect although less pronounced than 3 T while, for the case at hand, a magnetic field of only 1 T is not effective. The results here include detailed energy deposition contours in three dimensions.

A new and most direct method of penumbral imaging is presented. It is shown that for square (or polygonal) apertures, the source distribution is given by the second-order mixed Cartesian derivative of the penumbral image intensity distribution. Use of this approach is illustrated by computer simulation. Two different source sizes (3.2 mm and 10 pm) of high-energy gamma sources were reconstructed. The effect of noise in the recording system is studied and a simple noise reduction technique is shown to be quite effective.

Monte Carlo methods have been used to simulate the scattering of x rays in polystyrene and water phantoms. In particular, the ratio of the scattered to total x-ray fluence (scatter fraction) has been calculated for monoenergetic x-ray beams in the energy region relevant to diagnostic radiology and nuclear medicine (30-660 keV). Simulations have been made for representative values of the pertinent geometrical factors; phantom thickness from 5 to 21 cm, x-ray beam diameters of 10 and 25 cm, and scatterer-to-image-plane separations from 0 to 20 cm. As a function of x-ray energy, the scatter fraction was found to vary slowly between 30 and 100 keV, and to decrease between 100 and 660 keV. The present results were generated with a special transport code which included the effects of special geometries and the response of the x-ray detector. With the inclusion of these effects, the results resolved inconsistencies and showed good agreement with previous measured and calculated data.