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Chapter 13
Radiation Field Shaping, Skin Dose, Field Seperation
18
Physics
Graduate
05/06/2010

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Cards

Term
Equation for 5% transmission using a number of HVL's,
and solve.
Definition

1/2n = 0.05

where n is the number of HVL's.

2n= 1/0.05

2n= 20

nlog2=log20, n=4.32HVL

Term
Ballpark idea of required thickneses to provide 5% transmission
Co60
6MV
10MV
25MV
(in lead)
Definition
Co60-5cm 6MV-6.5cm 10MV-7cm 25MV-7cm
Term
Cerrobend melting point vs lead?
Definition

70 vs 327 degrees C.

 

Term
Density for Cerrobend vs lead?
Definition

9.4g/cc

11.4g/cc

Term
When you half-beam block what happens to the isodose lines near the surface?
Definition
Throws a hotspot to the outer edge of the field.
Term
How many pairs do MLC come in and what are their sizes?
Definition

26, 40, or 60 leaf pairs.

Come in size of 0.5m or 1.0cm

Term
What is the transmission of MLC leaves?
In between leaves?
Definition

<1% transmission through leaves

<1-2% between leaves

 

Term
What is the transmission through the jaws of the machine?
Definition
<2%
Term
Is Penumbra larger or smaller with MLC vs blocks?
Definition
Penumbra with MLC is larger.
Term
By what photon interaction contributes to skin dose?
Definition
Anything put into the beam will produce Compton electrons.
Term
What instruments do we use to measure Dose Distributions in the buildup region?
Definition

Extrapolation chambers are best but not widely available.

Many use fixed seperation plane-parallel ionization chambers.

TLDs are another choice (LiF)

Term
Skin Dose equation
Definition
½(100% + entrance%)
Term
What are electron filters?
Definition
When placed in photon beam, they are designed to attenuate secondary e-'s . Made of medium z material (copper, tin, lead)
Term
What is the purpose of electron filters and for what energy?
Definition
They help preserve skin sparing and are useful in large fields on 60Co machines.
Term
[image]
Definition

Gap seperation for adjacent fields

S1=½*L1*[d/SSD1]

S2=½*L2*[d/SSD2]

Term
Total seperation for adjacent fields
Definition

Total separation =

(½L1 . 1/SSD1)(½L2 . 1/SSD2)

Term

How do we eliminate the "three-field overlap"

(when L1 and L2 are different lengths) using AP/PA fields?

Definition

ΔS' = ΔS x d'-d/d

where d'=depth of cord from surface.

d= depth of Midline

and ΔS= S1-S2.

New gap required = S1+S2+ΔS'

Term

Craniospinal collimator and couch kick equation.

 

Definition

1. Careful not to exit through mouth!

Collimator = arctan(½(Lspinefld)*1/SSD)

Couch kick= arctan(½(LWBlength)*1/SAD)

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