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Radiation Therapy Treatment Planning

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Answer
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. (Mosby’s 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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