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The AAA to MC dose calculation as the impact of air-gap thickness and field size varied from 1.57% to 5.35% after the gap. Besides, patient's skin and oral cavity on head and neck case received a large dose discrepancy according to this study. The dose air to tissue-equivalent ratio decreased with smaller air gaps and larger field sizes. Dose correction for AAA calculation of open small field size should be considered after small air-gaps. However, delivered beam from others gantry angle reduced this effect on clinical case. The dose a
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