B. treatment verification Flashcards

1
Q

The _____is a point that the gantry, couch, and collimator rotate around

A

isocenter

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2
Q

____can be performed by using table parameters and a coordinate system

A

Shifts

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3
Q

Remember when performing shifts, they are in reference to

A

isocenter

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4
Q

____ isocenter shifts would require a positive table shift. or a addition to current table position.

A

Anterior, inferior, and right. ** remember AIR

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5
Q

The isocenter shifts ______would require a negative shift. OR a subtraction form the current table position

A

posterior, superior and left

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6
Q

if the lateral position of the couch is currently at the coordinate location of 1.5 and there is a right isocenter shift of 10.0, the new shifted couch coordinate should be

A

11.5cm. (10 + 1.5)

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7
Q

if the longitudinal position of the couch is currently at the coordinate location of 150.0 and there is a superior isocenter shift of 5.0, the new shifted couch coordinate should be

A

145 (150.0-5.0)

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8
Q

f the patient is head-first supine and the gantry is at an oblique angle of 45-degrees, the gantry angle would likely be called

A

LAO

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9
Q

if the patient is head-first prone, and the gantry angle is 90-degrees, the gantry angle may be named

A

right lateral

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10
Q

if the patient is feet-first supine, and the gantry angle is 270-degrees, the gantry angle may be named

A

left lateral

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11
Q

As the distance decreases (or gets closer to the source), the field size will measure

A

smaller than at isocenter

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12
Q

As the distance increases (or gets further from the source), the field size will measure

A

larger than at isocenter

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13
Q

______ treatment

A

2D

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14
Q
  • based on conventional treatment planning
A

2D

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15
Q
  • Uses a conventional simulator with x-ray equipment (fluoro simulation)
A

2D

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16
Q
  • Provides a radiographic image with an outline of the tumor and a small margin
A

2D

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17
Q
  • Dose distributions are limited to single fields or a few fields
A

2D

18
Q

______ Treatments based on three-dimensional imaging to create a treatment plan

A

3D

19
Q
  • Most common imaging system is a CT simulator
A

3D

20
Q
  • Anatomy and critical structures are more accurately defined in three dimensions
A

3D

21
Q

3D treatments use ___planning

A

forward

22
Q

_____ is a Treatment that includes rotation of gantry with stationary MLCs (not modulated)

A

Non-volumetric ARC therapy

23
Q

Four-dimensional treatment plan based on

A

4-D imaging

24
Q

For _____ The radiation beam is on when the tumor is within a specific treatment position (based on a specific breathing cycle); the beam is turned off when the tumor moves out of the treatment position

A

4D

25
Q

_____ Creates a non-uniform radiation beam in order to optimize the dose to the tumor while minimizing the dose to organs at risk near the tumor

A

IMRT

26
Q

» MLC movement creates modulated beam

A

IMRT

27
Q

» Highly conformal beams

A

IMRT

28
Q

IMRT uses ___ planning

A

Inverse

29
Q

For ______ Rotational fields are also known as arc therapy, where the radiation is delivered while the gantry is moving in an arc from one set point to another

A

VMAT

30
Q

____ has better dose distribution than fixed-field IMRT

A

VMAT

31
Q

_____radiosurgery is a single-fraction, high-dose radiation therapy

A

Stereotactic

32
Q

For steroitatic radiosurgery Dosimetric accuracy required is

A

± 5 percent

33
Q

_____ uses an onboard kV source and imager to image the patient prior to treatment when the patient is in their treatment position

A

kV imaging

34
Q

The kV imager is a flat-panel detector located ____degrees from the kV source

A

180

35
Q

KV images are

A

2D

36
Q

kV images are more detailed and have better contrast than

A

MV images

37
Q

CBCT images are

A

3-D or volumetric images

38
Q

___ for CBCT is in shape of a cone to cover larger volumes as opposed to fan-beam CTS used in diagnostic or simulation CT scanners

A

Acquired beam

39
Q

For CBCT, Multiple images are taken at different angles as the gantry rotates, which are then reconstructed to create a

A

3-D image

40
Q

After reconstruction of CBCT , these images can be viewed in three planes »

A

Axial, sagittal, and coronal

41
Q

_____ is taken in the beam’s-eye view (BEV), or from the angle and setting the

A

Portal imaging

42
Q

_____is done before treatments start to verify the treatment plan and then at certain increments throughout treatment as specified on the prescription

A

Portal imaging