electron therapy Flashcards

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1
Q

Electrons can interact with either…

A
  1. the nucleus of the atom
  2. the atomic electrons
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2
Q

what type of linac produces electrons as well as photons

A

dual modality linac

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3
Q

what are the characteristics of electron therapy

A
  1. non-isocentric
  2. skin apposition as the patient is in contact with the applicator
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4
Q

Describe the changes of a dual modality linac when changing from photons to electrons

A
  1. the tungsten target is retracted
  2. the flattening filter is retracted and a scattering foil is inserted.
  3. an applicator is added to the head of the linac
  4. gun current is reduced.
  5. collimators are opened out wide
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5
Q

what is the function of the primary coil

A

prevents leakage

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6
Q

scattering foils scatter electrons, high z material scatter electrons more than low z materials. what is the problem with this?

A

bremsstrahlung is created in the foil which contaminates the foil with x-rays

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7
Q

what is the collimator in electron therapy

A

the applicator

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8
Q

why is skin apposition used in electron therapy

A

as electrons are easily scattered by air so the collimator has to go right down to the patient surface.

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9
Q

what is the function of the endplate

A

located at the end of the applicator it defines the field size.

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10
Q

graph wise what is the difference between a collimated and non collimated electron beam

A

with - dose increases and the dose fall of is rapid

without - less dose and dose falls of exponentially.

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11
Q

why can’t lead be used in electron therapy to half-block the field

A

as lead has a high z number it will produce x-rays through bremsstrahlung

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12
Q

describe the dosimetry of electrons

A
  • deposit dose of a smaller range than photons
  • sharp dose fall-off beyond the 80% isodose.
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13
Q

in electron therapy what determines the Dmax

A

electron energy

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14
Q

electron therapy treats/ superficial lesions, why

A

as the majority of the dose is deposited on the patients skin, there is little build up.

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15
Q

Bremsstrahlung contamination in electron therapy should be kept at X% minimum

A

3%

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16
Q

what is stand-off

A

when it is not possible to achieve skin apposition with the end plate - on curvy areas for example nose. Stand-off affects the dose by a factor of the extra distance squared.