Image guided: Excellent question. Direct radiation is best delivered by image guidance, and tracking limit collateral damage. Your question is about scatter radiation ( radiation bouncing around inside the body); unfortunately, there is no good way of blocking or stopping scatter radiation in the body.
Answered 3/8/2012
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They account for it: Scatter radiation can and does occur, it can be as high as 10-15% of the delivered dose. That scatter must be accounted for in the planning and is mapped in a device called the dose-volume histogram.
Answered 6/9/2013
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