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A many-body-theory approach has been developed to study positronium-atom interactions. As first applications, we calculate the elastic scattering and momentum-transfer cross sections and the pickoff annihilation rate for Ps collisions with He and Ne. The cross section for He is in agreement with previous coupled-state calculations, and the momentum-transfer cross section for Ne agrees with available experimental data. is found to be 0.13 and 0.26 for He and Ne, respectively, in excellent agreement with the measured values.

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