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intro to rad therapy test 3
test 3 - 2/16/2010
79
Science
Graduate
02/09/2010

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Cards

Term
linear accelerator replaced Co60 equipment because? (3)
Definition

- higher energy with skin sparing effect

-field edges more sharply defined with less pnumbra.

-personell receive less exposure to leakage radiation

Term
4 main areas of linear accelerator :
Definition

drive stand

gantry

PSA (patient support assembly)

console electronic cabinet

 

Term
Rectangular cabinet containing apparatus that drives the linear accelerator=
Definition
drive stand
Term
major components of drive stand:
Definition

magnetron or klystron

circulator

wave guide

cooling system

Term
cathode that provides source of bunched or pulsed electrons injected into accelerator structure =
Definition
electron gun
Term
provides high frequency microwaves =
Definition
magnetron/klystron
Term
imultaneously provides high voltage DC pulses to the magnetron or Klystron and electron gun.
Definition
modulator
Term
Carries microwave power from magnetron or klystron through the accelerator structure.= 
Definition
wave guide
Term
accelerates electrons from an electron gun using microwave power from magnetron or klystron.=
Definition
accelerator structure
Term
magnetron and klystron are two types of ?
Definition
electron tubes
Term
device that PRODUCES microwaves
Definition
magnetron
Term
Cylindrical construction w/ central cathode and outer anode w/ resonant cavities.
Definition
magnetron
Term
first step to microwave generation
Definition

cathode heated by inner filament -> electron released by thermionic emissions....

 

 

2.The electrons are emitted from the cathode and spiral in the magnetic field. The interaction of the spiraling electrons with the cavities in the anode creates high frequency electromagnetic waves.

Term
The electrons released from cathode are accelerated toward the anode by the action of
Definition
pulsed electric field
Term
microwaves are led to accelerator structure via..
Definition
wave guide
Term
device that AMPLIFIES microwaves
Definition
klystron
Term
klystron is driven by:
Definition
low power microwave oscillator
Term
first step of microwave amplification
Definition
cathode heated by hot wire -> electrons released via thermionic emissions
Term
after electrons are release in microwave amplifications.. next step ..
Definition
.Low level microwaves injected into buncher cavity. setup alternating Electric Field across the gap between left and right cavity walls.
Term
after buncher cavity.. 3rd step?
Definition
velocity modulation
Term
after velocity modulation, 4th step =
Definition
Drift Tube → distance along which electrons moving at different velocities merge into discrete bunches.
Term
after drift tube , 5th step =
Definition
5.Catcher Cavity → As electrons leave drift tube and traverse catcher cavity gap, microwaves get highly amplified as a result of kinetic energy of bunched electrons.
Term
after catcher cavity, 6th step =
Definition
microwaves are lead to accelerator structure via wave guide
Term
after wave guide, 7th step =
Definition
7.Collector → Residual beam energy that is not converted to microwave power is dissipated as heat in collector cavity.
Term
Once we have microwave accelerating power, we need a place to accelerate those electrons –>
Definition
accelerator tube
Term
components of x-ray treatment head: (7)
Definition

bending magnet

xray target

primary collimator

beam flattening filter

ion chamber

secondary collimators

slot(s) for wedges, blocks, compensators.

Term
Directs electrons vertically towards a supine patient for an anterior treatment.
Definition
bending magnet
Term
magnet bends electrons ____ degrees onto x-ray target (or scattering foil for electron production)
Definition
270
Term
electrons energy is converted into x-ray energy at?
Definition
target
Term
Shapes x-ray beam into cross-sectional dimension. Causes “horns” in the beam at the skin surface.
Definition
beam flattening filter
Term
monitors the beam symmetry in right/left and inferior/superior direction.
Definition
ion chamber
Term
Adjusts upper/lower shutter (manual or remote control)
Definition
secondary collimator
Term
components for electron beam tube head: (8)
Definition
bending magnet primary collimator scattering foil carrousel ion chamber secondary collimator electron cone applicator aperture or custom block.
Term
Thin and uniform metal used to scatter the pencil thin electron beam.
Definition
scattering foil
Term
facilitates the exchange from flattening filter to scattering foil.
Definition
carousel 
Term
attached to treatment head for electron treatment.
Definition
electron cone or applicator
Term
located at the end of the applicator
Definition
aperture or custom block
Term
functions of controle console?
Definition

monitor units - prescribed dose

mechanical beam parameters

Term

one in ceiling and 2 on the side

project small dots or lines that intersect isocenter, help set up patient to predetermined marks.

Definition
lasers
Term
One end of couch has sturdy plastic square or frame with strings. other end has:
Definition
removable inserts to allow patient positioning and support devices to be attached.
Term
modulator cabinet contains which 3 things
Definition

Fan control

auxillary power distribution system

primary power distribution system

Term
auxiliary system contains which 3 systems? 
Definition

vacuum 

pressure

and cooling systems

Term
Record of patients radiation therapy history.
Definition
task analysis
Term
task analysis must contain (6):
Definition
history and diagnosis Rationale for treatment Treatment Plan Consent Documentation of treatment follow up notes
Term
treatment record contains (6)
Definition

Patient Identification

Signed Prescription

Treatment planning data

treatment field

identifiers daily

treatment record

verification images

Term
what are 5 things on the prescription?
Definition
dose fractionation treatment technique special immobilization (if necessary) beam modifiers
Term
2 things in the treatment plan
Definition
isodose distributions monitor unit calculations
Term
the treatment plan is checked and signed by
Definition
at least 2 people
Term
each treatment field is assigned ..
Definition
a letter or number
Term
each field is described by what 3 things 
Definition
size, angle, beam direction
Term
daily treatment record contains:7
Definition

treatment number

elapsed days

date

daily and total dose

procedures such as portal imaging

MU given

Dose to critical structures.

Term
documents that verify the correct area is treated
Definition
verification images
Term
beam modifying devices
Definition

Bolus

Compensators

Wedges

Electron cones

internal shielding

electron shields.

Term
treatment techniques: (6)
Definition

AP/PA

POP

tangential

four field box

boost

arc therapy

Term
name things rad therapist must inspect 7:
Definition

treatment unit

treatment accessories

supplies

cleanliness

orderliness

unsafe conditions

lights

Term
modern machines not only treat cancers but control:
Definition
1.MLC's 2.Portal imaging (MV) 3.kV imaging 4.Gated therapy treatments.
Term
An image from different resources is used to determine if treatment setup is correct. =
Definition
IGRT (image guided rt)
Term
beta aquisition tomography (BAT) is ?
Definition
ultrasound imaging
Term
localizes the prostate using 2d images
Definition
ultrasound imaging
Term
in ultrasound imaging, obtain ___________ images and compare to a control image determined by dosimetry.
Definition
axial and saggitaal 
Term
Varian and Elekta are makers of
Definition
OBI on board imaging
Term
Allows you to match the persons breathing to the treatment beam. =
Definition
respiratory gating
Term
delivers as many as 1400 highly pinpointed beams of radiation to control or destroy the tumor. Image-guided cameras locate the tumor's position and remain locked on the target throughout the procedure.
Definition
cyber knife
Term

cyber knife treatment lasts how long?

Definition
2 hrs each spread, for 2 weeks
Term
cyber knife is used for treatments of
Definition
head neck and spine
Term
used to treat brain tumors with a high dose of radiation therapy in one day.
Definition
gamma knife
Term
used in low energy LINAC's
Definition
magnetron
Term
More expensive
Definition
Klystron
Term
more stable
Definition
klystron
Term
linear geometry
Definition
klystron
Term
less stable
Definition
magnetron
Term
typical peak power 2mw
Definition
magnetron
Term
circular geometry
Definition
magnetron
Term
higher peak power at 5 mw
Definition
klystron
Term
produces high frequency microwaves
Definition
magnetron
Term
sends high frequency microwaves to accelorator tube via wave guide
Definition
both mag and kly!
Term
dose rate of accelerator beam varies, so its not possible to rely on 
Definition
elapsed time to control dose delivered to patient
Term
name some status's displayed at the control console:
Definition

standby

prepratory

ready

beam on

interlock

emergency off 

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