Dose Calculations Flashcards
Where is SSD technique set at?
Patient skin, 100cm from the source, target
What dose calculation factors are used for SSD technique?
PDD and TMR
Where must the machine output be calibrated at for SSD technique?
SAD + Dmax
Where is SAD technique set at?
patients tumor or midline set at isocenter of 100cm from the source or target of the linac. (80cm for Cobalt-60 Machines)
What are the dose calculations utilized for SAD technique?
TAR, TMR, PDD
Where should the machine output be calibrated at for SAD technique?
Distance+ Depth= SAD (100cm SAD for Linac, 80cm SAD for Co-60)
What must be used when reference dose rates are not
calibrated for the right technique?
Inverse Square Correction Factor
Back Scatter Factor =
Dose @ Dmax in medium/Dose at same point in air
Back Scatter Factor
- Dependent on the Beam Energy and Field Size
- Independent of SSD
Field Size Correction Factor for Co-60
The ratio of ionization at given field size at a point in air to a 10x10 field size at same point
Field Size Correction Factor Equation
Cfs= R(FS,80)/R(10x10,80)
What are some attenuation factors?
Tray factor, wedge factor
Cattn=
Dose with device/Dose without device
when you are given an MU/Timer calculation, with the following factor s (Dose rate given in air, SAD), which of the following will you use? TMR. TAR. PDD. TPR
TAR
when you are given an MU/Timer calculation, with the following factor s (Dose rate given in air, SSD), which of the following will you use? TMR. TAR. PDD. TPR
PDD
when you are given an MU/Timer calculation, with the following factor s (Dose rate given in Phantom, SAD), which of the following will you use? TMR. TAR. PDD. TPR
TMR
When you are given an MU/Timer calculation, with the following factor s (Dose rate given in Phantom, SSD), which of the following will you use? TMR. TAR. PDD. TPR
PDD
For Co-60 Machine, Dose rate @ Dmax =?
Dose/Time (cGy/Min)
For Co-60 machine, Total Dose rate @ Dmax= ?
Beam on-time x Dose rate at Dmax
For Co-60, Tumor dose @ depth =?
Dose Rate x PDD @ depth x Beam-on time
d stands for what in SAD technique?
Depth of target or depth of point of calculation
Tissue Air ratio=
Dp(r,o)/Da(r,d)
Tissue Air Ratio
- used in calculations for rotational therapy
- SSD may change in rotational therapy, however, SAD remains constant
- TAR replaces PDD and BSF
- Decreases with depth
- is BSF at Dmax
- TAR increases with increases in Field Size
What is the MU calculation formula for Co-60 Machine that has a 10x10 Field size and Isocenter in air calibration?
SSD:
Tumor Dose/(RDRx ISCFxBSFx(SSD/SSD+0.5)^2xPDD + Shuttle Error
SAD:
Tumor Dose/ (RDRxISCFxCattnxTAR) + Shuttle Error