“…These physical processes are simplified by using a convolution equation that convolutes the primary photon energy fluence (terma -total energy released in unit of mass) with a kernel that describes the contribution from scattering photons and electrons, and the method is called the convolution algorithm. [7][8][9][10][11][12][13][14][15][16][17][18][19][20] If the path length is replaced by radiological path length to describe the inhomogeneity of media, the method is called convolution-superposition. The details of how to handle this convolution kernel give rise to sub-difference algorithms that are applied in different commercial treatment plan systems: Pencil Beam Convolution (PBC) [12][13][14] , the Analytical Anisotropic Algorithm (AAA) 15,18 (Varian Medical System, Inc. Palo Alto, CA, USA ), and Collapse Cone Convolution (CCC) algorithms 16,19,20 (Pinnacle, CMS XiO, etc).…”