Radiation Therapy Treatment Planning
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Radiation Therapy prescription | show 🗑
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show | Defines the treatment volume, intended tumor dose, number of treatments, dose per treatment, and frequency of treatment. Also stated are the type and energy of radiation to be used, beam-shaping devices and any other appropriate factors (W/L, pg. 493).
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show | Refers to the energy deposited at a specific point in a medium. The dose is measured at a specific point (in a patient or phantom) and is commonly measured in Gray (Gy). (W/L, pg. 493).
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Depth | show 🗑
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show | The measurement of the patient’s thickness from the point of beam entry to the point of beam exit (W/L, pg. 494).
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show | The distance from the source of photons to the patient’s skin surface (W/L, pg. 494).
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SAD | show 🗑
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show | The intersection of the axis of rotation of the gantry and the axis of rotation of the collimator for the treatment unit (W/L, pg. 494).
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Field Size | show 🗑
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Depth of Maximum Equilibrium (Dmax) | show 🗑
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Output | show 🗑
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Output Factor | show 🗑
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show | Gap = (L1/2 × d/SSD1) + (L2/2 × d/SSD2) (W/L, pg. 516).
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show | Given Dose= (TD/PDD) × 100 (W/L, pg. 509).
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Tumor Dose (Dmax Dose) | show 🗑
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Mayneord F-factor | show 🗑
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Inverse Square Law | show 🗑
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show | Equivalent Square= (4(L ×W)) / (2(L +W)) (W/L, pg. 498).
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show | ISCF = (Reference distance + Dmax)^2 / (Treatment distance + Dmax)^2 (W/L, pg. 508).
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show | ISCF = (Reference source calibration distance)^2 / (Treatment SSD +Dmax)^2
*(Reference source calibration distance = Reference distance + Dmax for the energy) (W/L, pg. 508).
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show | (Reference distance / Source Calculation Point Dose [SCPD])^2
*Reference distance = 100; SCPD = The set up SSD + Depth (W/L, pg. 508).
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show | MU/Time=(Prescribed Dose)/
(RDR*ISCF*Sc*Sp*PDD/100*Other)
(W/L, pg. 504)
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Monitor Unit Calculations for SAD (Isocentric) Set-ups (TAR) | show 🗑
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Monitor Unit Calculations for SAD (Isocentric) Set-ups (TMR) | show 🗑
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show | MU= (Prescribed Dose) / (RDR×ISCF×Sc×Sp×TPR×Other factors) (W/L, pg. 511).
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show | HA = 180 - 2(wedge angle) (RT Essentials, pg. 135)
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Wedge Angle | show 🗑
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Electron Beam Mean Energy | show 🗑
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Practical Range (Er) in cm Electron Beam in Tissue | show 🗑
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show | MeV/3 (W/L, pg. 555).
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Electron 90% Isodose line | show 🗑
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show | A = (0.66mg/cm) x (active length of source in cm)
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Activity Half Strength Source | show 🗑
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show | 200 cGy/3 = 66.7 cGy
AP = 66.7 x 2 = 133.4 cGy.
PA = 66.7 x 1 = 66.7 cGy.
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Patient is to be treated with total dose of 180 cGy in a four field arrangement AP, PA, RL and LL (2:1:1.5:1.5). What is the dose to each field? | show 🗑
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show | (17/2 x 3/92) + (15/2 x 3/91)
(8.5 x .0326) + (7.5 x .0324)
(.2771 + .0243)
Gap= .52
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show | 9 X 25; 1.33 x 7 cm = 9.31 cm; 1.33 x 19 cm = 25.27 cm
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A patient has a tumor 3.5 cm wide at a depth of 4 cm. What will be the necessary field width at the skin surface to cover the tumor volume plus a 1 cm margin on each side using a linear accelerator and isocentric set-up? | show 🗑
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The dose rate on a linear accelerator is 102.4 cGy/Min at 100 cm. What is the dose rate at 85.5 cm? | show 🗑
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The optimum hinge angle for a 60 degree wedge would be: | show 🗑
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show | (10/2 x 5/100) + (15/2 x 4/100); Gap= .55cm.
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Calculate the equivalent square for a field size of 10 cm X 15 cm. | show 🗑
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What are the 80% and 90% isodose lines for a patient treated with a 16 MeV electron beam? | show 🗑
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show | (300 x 87.9)/100 = 263.7 cGy. (See Table 24-6 W/L pg. 519)
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show | 180/0.60 = 300 cGy.
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show | Hinge Angle.
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A 45 degree wedge is inserted into a field to modify the isodose curve. The toe section will allow (greater or lesser) intensity in part of the beam. | show 🗑
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show | Heterogeneity Corrections.
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Palpable tumor; visible areas of known disease. | show 🗑
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show | PTV.
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The area enclosed by the isodose surface selected. | show 🗑
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Contains a margin for subclinical extensions of the disease. | show 🗑
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show | 2 cm superior and 2 cm lateral to the center of the cervical os.
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show | Smaller.
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show | Cesium-137 (W/L, pg. 303).
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show | Iridium-192 (W/L, pg. 305).
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What is the half-life of radium-226? | show 🗑
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What is the half-life of cobolt-60? | show 🗑
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show | 30.0 years (W/L, pg. 303).
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show | 73.83 days (W/L, pg. 303).
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What is the half-life of iodine-125? | show 🗑
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show | 16.99 days (W/L, pg. 303).
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What is the half-life of gold-198? | show 🗑
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What is the half-life of radon-222? | show 🗑
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show | 35/100 = x/115; 40/100 = y/115;
100x = 4025; 100y = 4600;
x = 40.25 y = 46
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show | Fills in deficits to have a more homogenous dose distribution. Shifts dose lines and brings Dmax closer to the skin surface when skin sparing is not desirable (Mosby’s RT Study Guide, pg. 102).
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For non-isocentric treatments, _______ is the factor of choice to demonstrate central axis dose at a given depth. | show 🗑
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When looking up the PDD or TMR for a given depth and field size, _______ should be used when there are blocks or MLC. | show 🗑
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HDR isotopes deliver at a dose rate =_______cGy/min | show 🗑
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show | 0.5 to 2.0 cGy/min. (Mosbyâs RT Study Guide, pg. 108).
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show | The 50% isodose line in low energy beams like Cobalt 60 or the isodose line at a depth of 10 cm for higher energy beams used in modern linear accelerators (Mosby’s RT Study Guide, pg. 101).
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What is the Dmax for a 1.25 MV beam? | show 🗑
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show | 1.0 cm (RT Essentials, pg. 140).
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What is the Dmax for a 6 MV beam? | show 🗑
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show | 2.5 cm (RT Essentials, pg. 140).
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show | 3.5 cm (RT Essentials, pg. 140).
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show | 4.0 cm (RT Essentials, pg. 140).
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show | Image fusion or image registration (W/L, pg. 542).
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What is the practical range in tissue for a 10 MeV electron beam? | show 🗑
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show | 200 cGy/5 = 40 cGy; AP field = 40 x 3 = 120 cGy; PA field = 40 x 2 = 80 cGy.
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