“…Both discrete-ordinates and Monte-Carlo methods have been used in buildup factor studies by Hirayama, Harima and others [27] in which the effects of secondary photons from bremsstrahlung and fluorescence were identified. Hirayama [28], using plane geometry and Monte Carlo, and Kitsos [29], who used spherical geometry and discrete-ordinates, both demonstrated that the inclusion of incoherent and coherent scattering phenomena in cross sections tends to increase exposure buildup at energies above 10 keV. Kitsos later showed that by including photons from bremsstrahlung and fluorescence, exposure buildup factors increase significantly [30].…”