In this study, cone-beam single projection and axial CT scans are modeled with a software package-DOCTORS, which solves the linear Boltzmann equation using the discrete ordinates method. Phantoms include a uniform 35 cm diameter water cylinder and a non-uniform abdomen phantom. Series simulations were performed with different simulation parameters, including the number of quadrature angles, the order of Legendre polynomial expansions, and coarse and fine mesh grid. Monte Carlo simulations were also performed to benchmark DOCTORS simulations. A quantitative comparison was made between the simulation results obtained using DOCTORS and Monte Carlo methods. The deterministic simulation was in good agreement with the Monte Carlo simulation on dose estimation, with a root-mean-square-deviation difference of around 2.87%. It was found that the contribution of uncollided photon fluence directly from the source dominates the local absorbed dose in the diagnostic X-ray energy range. The uncollided photon fluence can be calculated accurately using a 'ray-tracing' algorithm. The accuracy of collided photon fluence estimation is largely affected by the pre-calculated multigroup cross-sections. The primary benefit of DOCTORS lies in its rapid computation speed. Using DOCTORS, parallel computing with GPU enables the cone-beam CT dose estimation nearly in real-time. In X-ray attenuation-based CT imaging, the mechanisms responsible for a material's attenuation are primarily the photoelectric effect and Compton and Rayleigh scattering 1-3. These interactions determine the energy transfer between photons and material as well as the photon distribution throughout the CT system. A complete description of the photon distribution and energy transfer is essential for estimating patient dose and for designing an optimized CT system. Stochastic methods (e.g., Monte Carlo simulation) have been used extensively in the past 4-20 , and are generally considered to be the gold standard for estimating photon distributions and CT doses. However, they require a large number of particle histories and, therefore, a lengthy computation time is needed to reduce statistical uncertainty to an acceptable level. There is, however, no statistical error associated with deterministic methods, so they can be comparatively efficient in large regions where the highly resolved spatial fluence must be known to within a tight uncertainty bound. While hybrid stochastic-deterministic methods advantageously combine Monte Carlo and deterministic techniques and are more computationally efficient than a pure Monte Carlo simulation, they result in a cumbersome computational framework, due to the combination of two different methodologies, and can also have lengthy computation times 21, 22. We have explored three methodologies including Monte Carlo, hybrid Monte Carlo, and deterministic methods to solve photon transport problems 23-27 , and have found that the deterministic method provides accurate results that are comparable to a Monte Carlo simulation. In addition, the ...