Percentage Depth Dose
One way of characterizing the central axis dose distribution is to normalize dose at depth with respect to dose at a reference depth. The quantity percentage (or simply percent) depth dose may be defined as the quotient, expressed as a percentage, of the absorbed dose at any depth d to the absorbed dose at a fixed reference depth d0, along the central axis of the beam (Fig. 1). Percentage
Figure 1: Percentage depth dose is (Dd/Dd0), where d is any depth and d0 is reference depth of maximum dose.
For orthovoltage (up to about 400 kVp) and lower-energy x-rays, the reference depth is usually the surface (d0 = 0). For higher energies, the reference depth is taken at the position of the peak absorbed dose (d0 =dm).
In clinical practice, the peak absorbed dose on the central axis is sometimes called the maximum dose, the dose maximum, the given dose, or simply the Dmax. Thus:
A number of
parameters affect the central axis depth dose distribution. These include beam
quality or energy, depth, field size and shape, source to surface distance, and
beam collimation.
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