Physica

04 Protection

Patient scatter at 1 m

Scattered dose ≈ α (A/400) D / d² with α ~ 0.001 for MV photons.

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Simulation

Patient scatter at 1 m — Change the numbers; the scene follows.

Where it works

Linear accelerator

Linear accelerator

Isocenter

At isocenter, on the central axis through the patient (or a phantom in the same place).

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Formula

Ds=αD(A/400)/d2D_s = \alpha\,D\,(A/400)/d^2

Variables

Results

  • D_s

    Scattered dose

    0.002Gy

  • D_s

    Scattered dose

    2mGy

Explanation

Ds=αD(A/400)/d2D_s = \alpha\,D\,(A/400)/d^2

What it means

Patient scatter at 1 m is about 0.1% of the primary dose for a 400 cm² field (α ~ 10⁻³), scaling with field area and 1/d². It dominates secondary-barrier B for many walls beside the couch. This is a working relation in Radiation protection.

Where it is used

Clinically it sits on the Linear accelerator — Isocenter. At isocenter, on the central axis through the patient (or a phantom in the same place). Protection equations are the wall, the occupancy factor, and the badge: time, distance, shielding, and WUT. They turn a room into a legal design.

Linear accelerator · Open this machine

How to use it

α depends on energy (slightly lower at 18 MV than 6 MV at 90°). Area A is at isocentre. For IMRT use an increased effective W rather than inflating α. Change one input and watch the curve and the simulation follow.

Symbols

  • DIsocenter dose2 Gy
  • AField area at iso400 cm²
  • dDistance from patient1 m
  • αScatter fraction0.001

Worked example

A typical case from the default values: D = 2 Gy (Isocenter dose); A = 400 cm² (Field area at iso); d = 1 m (Distance from patient); α = 0.001 (Scatter fraction). Substituting into the relation gives D_s = 0.002 Gy; D_s = 2 mGy. These are teaching numbers — align them with your machine.

Typical values give

  • D_s = 0.002Gy
  • D_s = 2mGy

Where it comes from

The displayed formula is the working relation. Scattered dose ≈ α (A/400) D / d² with α ~ 0.001 for MV photons. Usual reference: NCRP 151. Derive it in the specialty lesson, then return here to pin the numbers.

Reference: NCRP 151

Assumptions & limits

Single-scatter, 90° typical NCRP value. Ceiling bounce, maze scatter, and Compton scatter from the wall itself are extra terms in a full report.

Pitfalls

Tenth-value layers are for the broad beam in that material and that energy — not a photocopy from another bunker. Occupancy T is not a guess; it is a use pattern. Inverse-square fails against a large scatter source. Single-scatter, 90° typical NCRP value. Ceiling bounce, maze scatter, and Compton scatter from the wall itself are extra terms in a full report.

Keep this

α is scatter fraction at 1 m from a 400 cm² field. Typical 0.00064–0.0014 depending on energy.

In this specialty

Radiation protection