MCGPU [1,2] is an open-source x-ray imaging simulation software to generate virtual x-ray projections of computational anatomical models described by voxels. The simulator can replicate radiographic or computed tomography devices, and it is particularly fitted to replicate mammography systems, as demonstrated in its use in a large virtual imaging trial project [7]. Other variants of the software intended to simulate other imaging modalities such as Positron Emission Tomography (PET) [3] have also been developed. The physics-based Monte Carlo algorithm implemented in MCGPU is based on the general-purpose algorithm and atomic interactions models from PENELOPE. A key innovation of MCGPU is the use of Graphics Processing Units (GPU) to maximiz...