Cyberknife Flashcards

1
Q

How far does the bed and couch move?

A
  • gantry from 140-180

- bed moves in 6 angles

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2
Q

What are the machine components?

A
  • 6MV
  • 1000 MU/min
  • 0.3 to 0.8mm accuracey
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3
Q

What is the treatment for 9 brain lesions?

A
  • 15Gy in 1#
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4
Q

What is the dose fall off of CK compared to SRS?

A
  • CK: 10% per mm

- SRS: 10% per cm

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5
Q

What is lung optimised treatment?

A
  • robot can see the tumour from and locks onto it and follows it
  • both the robot and staff need to see the tumour for treatment to comence
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6
Q

How often does imaging occur?

A
  • two images every 15 seconds
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7
Q

What is the x-sight lung tracking treatment?

A
  • 54Gy 3# alternate days
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8
Q

What is required when not treating intracranial or x sight lung?

A
  • fiducial placed in or next to tumour and used as a surrogate
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9
Q

What is the treatment for prostate?

A
  • 36.25Gy in 5# alternate days
  • 195 beams
  • 35 minute treatment
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10
Q

What is the benefit of CK for prostate patients?

A
  • close to no side effects

- due to high alpha/beta ratio hypofractionation provides better local control

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11
Q

What is the treatment for liver?

A
  • 45Gy in 3#
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12
Q

What is the treatment for kidney?

A
  • 39Gy in 3#
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13
Q

What are the main sites treated with CK?

A
  • brain
  • prostate
  • lung
  • liver
  • kidney
  • pancreas
  • rib
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14
Q

What is the treatment for pancreas?

A
  • 45Gy in 3#
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15
Q

What is the treatment for rib?

A
  • 12 Gy in 1#
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16
Q

What are the potential side effects of trigeminal neuralgia CK?

A
  • trigeminal numbness
  • decreased corneal reflexes
  • chewing issues
  • dipopia
  • decreased hearing
  • dry eye
  • foot paresis
  • secondary malignancy
17
Q

What is the treatment for trigeminal neuralgia?

A
  • 62Gy in 1#
18
Q

What are the challneges of cyberknife?

A
  • 6MV
  • pencil beam delivery
  • longer treatment time per fraction
  • require fiducials which poses infection risks