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Radiation therapy typically employs high energy photon beams because the low absorption coefficient at these energies
minimizes skin dose with a conventional, unfocused beam. At orthovoltage energies less than 150 keV, the maximum
dose for a single beam occurs very close to the skin surface. However a well-focused beam of low energy x rays can
provide much higher flux at the target depth while sparing dose to the skin. The measured focal spot size for the
polycapillary optic was 0.2 mm and was found to remain unchanged through 50 mm of phantom thickness. The
calculated depth-dose curve was found to peak several centimeters below the surface with 25-40 keV radiation.
Modeling indicates that the tumor dose would remain much higher than
the skin dose even after scanning to cover a 1 cm3 tumor.
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Dip N. Mahato, C. A. MacDonald, "Potential for focused beam orthovoltage therapy," Proc. SPIE 7806, Penetrating Radiation Systems and Applications XI, 78060F (20 September 2010); https://doi.org/10.1117/12.861764