Megavoltage X-rays

Megavoltage x-rays are preferred for the treatment of deep lying tumours as they are attenuated less than lower energy photons, and will penetrate further, with a lower skin dose. Megavoltage X-rays also have lower relative biological effectiveness than orthovoltage x-rays. These properties help to make megavoltage x-rays the most common beam energies typically used for radiotherapy in modern techniques such as IMRT.

History

The use of megavoltage x-rays for treatment first became widespread with the use of Cobalt-60 machines in the 1950s. However prior to this other devices had been capable of producing megavoltage radiation, including the 1930s Van de Graaff generator and betatron.