Here is the underlying reason:
Radiological properties in the radiotherapy MV energy range are controlled by electron density. For most materials, relative densities track. PMMA is one of those, where relative electron and physical densities diverge more than in other commonly encountered media. We verified that for a Pinnacle system that models PDD in water well, the best results for “heavy water” representation of the ArcCHECK PMMA is with 1.147 rel density. Verification was based on the exit to entrance dose measurements with an ion chamber in a homogeneous PMMA cylinder of ArcCHECK dimensions.
VF
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