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Rad Ther Equipment
and Quality Assurance
| Question | Answer |
|---|---|
| In 1 month, the output of a cobalt machine would reduce by about | 1% |
| The protective housing around the cobalt source in the cobalt machine should only allow transmission of ________ of the output. | 0.1 % |
| the target of the linac must have | a high melting point |
| the source of electrons in a linear accelerator is the | electron gun |
| what type of target is used in high energy linear accelerators | transmission type |
| trimmer bars are attached to the collimator of the cobalt machine to reduce the effect of | penumbra |
| which of the following machines does not accelerate electrons? microtron betatron cyclotron xray tube | cyclotron |
| the purpose of the flattening filter in the linac is to | evenly distribute the energy of the photon beam across a specified area |
| what is the purpose of the ion monitor chamber in the linear accelerator? | monitors dose rate and field symmetry |
| what is the purpose for the magnetron and klystron in the linear accelerator? | M- low energy produce microwaves for acceleration of electrons K- high energy units |
| why does the cobalt machine not have an electron gun? | uses radioactive sources not electrons and photons |
| why shouldn't trimmer bars attached to the cobalt collimator system be allowed closer than 15 cm from the patients skin? | allows room for secondary radiation to spread out before reaching patient. |
| As distance form the source increases, penumbra ___________ | increases |
| As the SDD increases, penumbra __________ | decreases |
| As the source size decreases, penumbra ________ | decreases |
| The target in the linear accelerator is typically made of | tungsten |
| The field light on the linear accelerator is intended to represent | the area of radiation exposure |
| the teletherapy cobalt machine has a beam stopper. the purpose of the beam stopper is to | -prohibit the primary beam from penetrating adjacent wall and ceiling - act as a counter-balance to the heavy gantry head |
| the scattering foil is placed in the path of the stream of electrons in the linear accelerator when programmed to operate in the _______beam mode | electron |
| the klystron and magnetron is the source of ___________ in the linear accelerator | microwaves |
| the cyclotron may produce _________ beams | proton ( also neutron and deuterons) |
| the purpose of a positioning device is to | accommodate the most appropriate position for accurate treatment delivery |
| the energy range for the early generation superficial therapy machines is | 50 to 150 kV |
| a long cylinder loaded with radioisotopes and placed in the vaginal space could be used to treat the | vaginal vault |
| the linear accelerator generates a high-energy photon or electron beam by | accelerating charged particles in a linear path |
| Output corrections must be made monthly when using cobalt sources. the correction is about | 1% per month (output 1%) |
| Geometric penumbra, characteristic of the cobalt beam, increases with | increasing source size increasing distance from the source |
| Heyman capsules may be used to treat the | endometrium (look like small tampons) |
| The Fletchers suite application is an example of | intracavitary low dose rate brachytherapy (1 tandem, 2 ovoids) |
| The BAT system uses __________ energy to localize the treatment target | ultrasound |
| The important QA test associated with the light field are | field size accuracy light and radiation field coincidence |
| Functional performance of radiation therapy equipment can | change due to malfunction of system electronics or component fault change due to wear and tear of the equipment |
| the target to patient skin distance is measured using | an OID indicator |
| the collimator, gantry, and couch of a conventional simulator rotate about their respective axes. The recommended tolerance for locating the isocenter in these rotations is a sphere of dimension | 2 mm diameter |
| the tolerance for the localizing laser and the ODI indicator is | 2 mm |
| the constancy of linac output for photon and electron beams must be checked | daily |
| the constancy of linac output, when compared with the benchmark values established during commissioning, must be within | 3 % |
| the symmetry and flatness of the clinical photon beam can be checked using | film a beam profiler |
| the xray beam in the linac must exhibit flatness within about | 2 % |
| scan and couch vertical positional accuracy for CT planning must be | about 2 mm |
| which of the following checks must be carried out daily on the cobalt machine | function of radiation room monitor function of door interlocks |
| cobalt beam output must be checked | monthly (1.09% beam output) |
| full calibration and overhaul of treatment equipment must be carried out | annually |
| in the case of brachytherapy sources | all sourced must be leak tested |
| the exact position of the source in the applicator can be checked by | taking a radiograph |
| brachytherapy sources must be calibrated | before being used for clinical dosimetry by a user using a chamber with calibration traceable to an accredited dosimetry calibration laboratory |
| in a brachytherapy procedure room, the following items must be available all the time | a radiation survey meter a temporary storage container a cutter and long-handled tongs |
| the tolerance for the coincidence of light and radiation field, in the case of the medical linac is | 2 mm or 1% of field length being measured whichever is greater |
| localizing lasers on simulators must be within ________ of isocenter | 2 mm |
| microwave power is produced to accelerate electrons | klystron |
| microwave power is directed toward the accelerator guide | waveguide |
| reference signal is provided for generation of microwave power | modulator radiofrequency driver |
| electrons are produced | electron gun |
| electrons are accelerated to high energy | accelerating guide |
| at the end of acceleration, high energy electrons are focused toward the collimator opening | bending magnet |
| xrays are produced by Bremsstrahlung and characteristic radiation process | target |
| the electron beam is spread out uniformly over the field area | scattering foil |
| xray beam intensity is made uniform over the field size at the isocenter | flattening filter |
| monitors radiation output | ion chamber |
| Monitors radiation beam uniformity by monitoring and controlling symmetry and flatness | scattering foil flattening filter ion chamber |
| produces high voltage and high power electrical pulses to generate microwave power | modulator |
| these components, through which electrons travel, are under very high vacuum | accelerating guide |
| microwaves travel through these components and are prevented from reflecting backward | waveguide radiofrequency driver |
| During a split field test for longitudinal displacement of the collimator for jaw symmetry, the collimator is rotated through an angle of | 180 degrees |
| To check the accuracy of gantry digital readouts one could use | a spirit level at 45 degree angle increments |
| a short exposure is taken on a radiographic film aligned with metallic marks on the borders of a collimated light field. this describes testing for | light field/radiation coincidence |
| the linear scales on the treatment table are useful as an aid for | daily treatment setup translation of patient positions from simulation to treatment |
| safety door interlocks should be checked | daily |
| which of the following verifies the accuracy of radiation dose delivery | back up timer, radiation off switch, door interlock and emergency off switch |
| to ensure the patient's safety during treatment on a megavoltage linear accelerator, the patient must be monitored by | intercommunication systems |
| the process for testing a new accelerator against manufacturer's specifications before putting it into service is termed | acceptance testing |
| a high energy photon unit will require daily quality checks for the determination of | dose rate constancy |
| gantry and collimator indicators should be accurate to within ____ | 1 degree |
| the common acceptable value for field flatness is about ___________ over the central 80% of the largest field size at isocenter | 3% |
| all of the following might account for a beam's flatness deviating outside specifications, except: flattening filter shift target position shift incorrect mirror angulation fluctuation of current | incorrect mirror angulation |
| While treating a patient using a rotational arc technique, the gantry rotates beyond the endpoint. this is likely a malfunction of the | limit switch |
| a mechanical distance indicator is used to verify | accuracy of optical distance indicator |
| if the mirror and bulb assembly has to be replaced, it is critical to perform the following quality check before using the machine | light field and radiation field coincidence |
| the average gamma energy for cobalt is | 1.25 MV |
| superficial therapy machines used short treatment distances because | percent depth dose falls off rapidly |
| in early generation kV therapy machines, the quality of the photon beam could be increased by | increasing the filtration |
| OBI is an acronym for | onboard imaging |
| the machine that consists of a short metallic cylinder divided into two D-shaped cavities is known as the | cyclotron |
| the gantry head of the linear accelerator contains all of the following except: flattening filter ion chamber xray target klystron | klystron |
| Cesium-137 | half life- 30 years source form- tubes, needles applications- LDR intravitary, interstitial |
| Iridium-192 | half life- 73.8 days source form- seeds applications- LDR interstitial, HDR interstitial, and intracavitary |
| Cobalt-60 | half life- 5.26 years source form- encapsulated spheres applications- HDR intracavitary |
| Iodine- 125 | half life- 60 days source form- seeds applications- Interstitial |
| Palladium-103 | half life- 17 days source form- seeds applications- interstitial |
| Gold- 198 | half life- 2.7 days source form- seeds applications interstitial |
| Strontium-90 | half life- 28.9 years source form- plaque applications- superficial ocular lesions |
| Strontium-89 | half life- 51 days source form- IV solution applications- diffuse bone metastates |
| Iodine-131 | half life- 8.06 days source form- capsule applications- thyroid cancer |