Figure Captions Fig. 1 A traveling dose rate profile f ( z vt ) 1 f ( z vt ) in the phantom reference frame is created when an axial dose profile f (z ) is translated along the phantom central axis z by table translation at velocity υ, where τ is the gantry rotation period (in sec), which has the familiar form of a traveling wave. Fig. 2 Accumulated dose at constant mA for a superposition (summation) of the 11 dose profiles f(z – kb) depicted, where k assumes integral values between (-5 ≤ k ≤ 5), each profile having an aperture of a = 26 mm and spaced at like intervals using a table increment b = a = 26mm (no primary beam overlap). The peak accumulated dose at z = 0 contributed by the 11 adjacent profiles shown in Fig. 2 exhibits a fourfold increase over the peak dose of a single axial profile f(0) due to scatter. In such a scan series with multiple adjacent profiles, the scatter contribution at z = 0 is built up by the scatter tails of the entire ensemble of profiles reaching back to z = 0. Fig. 3 Realistic example of a clinical auto TCM mA(z) profile, including chest and abdomen. Fig. 4a Accumulated dose obtained from the summation of the N = 11 individual mAweighted dose profiles f (z), individually depicted in the Figure, based on the mA(z) profile mA3 (also plotted), having the common average mA = 3.73 of the entire family of four mA profiles. The same scan interval b = a = 26 mm used in Fig. 2 applies here (and in all other examples). ~ Figure 4b A logarithmic plot log 10[ DL ( z )] of the data depicted in the linear plot of Fig. 4a in order to better visualize the “lateral throw” of the scatter tails which bolster the dose in the center. Thus despite the fact that the local mA(z) for the 3 central profiles drops by a factor of 6, these scatter tails prop up the central dose and limit its drop at the center to a modest factor of 5/3 = 1.7. Fig. 5 The other members of the family of mA profiles used in this paper (mA3 is not reshown here for clarity), each profile having the same average mA value over L = 286 mm, namely mA = 3.73, where the constant mA value is likewise mA0 = 3.73, such that the scanner will report the same value of “CTDIvol” for all family members (without TCM making any distinction between CTDI vol for those using TCM with variable mA(z) and the bona-fide CTDIvol at constant mA in profile mA0). Fig. 6 Accumulated dose distributions for the complete set of auto mA distributions from Fig. 5 – all having the same average mA value mA = 3.73 taken over the scan length L. TCM The actual constant mA used is likewise equal to 3.73, hence all have the same CTDI vol = CTDIvol = 5.0, and identical scanner-reported values of “CΤDIvol”. The common number of rotations N = 11 additionally confers the same integral dose E and DLP. Fig. 7 The average dose over the entire scan length L = 286 mm, for the family of mA TCM profiles all having the same average mA, the same CTDI vol = CTDIvol = 5.0, and the same scan length L = 286 mm and thence the same integral dose E and DLP (note that the value of CTDIvol is above this average as expected). Fig. A1 Match between the theoretical analytical dose profiles of Dixon and Boone5 and the experimental data of Mori et al.12 normalized to unity for a = 138 mm. There are no empirical parameters in the theory which is based on fundamental physics, nor is any curve-fitting involved (there are no adjustable parameters), so the theoretical curves either match the experimental data or the physics is wrong (or vice–versa); fortunately the match is good.