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The presence of large "horns" was found while plotting beam profiles during acceptance testing of a 6-MV linear accelerator. The in-phantom off-axis ratio (OAR), measured at 22 cm off the central axis along the diagonal of a 40 X 40 cm field at dmax was found to be 1.19, while beam uniformity was within specifications at 10-cm depth. A change in the gun injection voltage and the replacement of the magnet surrounding the magnetron with one of greater strength resulted in a reduction of the OAR to 1.085. The beam uniformity at depth was maintained within specifications. An alternative solution of adding a modifying filter in the primary beam was considered undesirable because of the 20%-25% reduction in dose rate caused by such filters. The relationship between the energy, the intensity distribution of the beam, and the magnitude of the horns is discussed, and the beam profiles, isodoses, and central axis depth doses before and after the changes are compared.
Constantinou et al. (Thu,) studied this question.