Lecture 5 Dose Calculation Algorithms And Helical Tomography Flashcards

1
Q

What are the features of helical tomotherapy

A
  • fast binary MLC
  • continuous rotation
  • continuous couch movement (can treat up to 135 length)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the components of a tomo machine?

A
  • linac gun
  • jaws (one set, 23 cm tungsten)
  • MLC (64 in total, 32 on each side)
  • detector
  • beam stop (12.7cm Tungsten = x2 10VL)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the SAD and bore size?

A

Both 85cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How many beam angles are optimised in tomo?

A

51 beam angles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The couch velocity is __________.

A

Constant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the dimensions of tomorrow MLC?

A

10cm thick
2mm wide on linac side
3mm wide on patient side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the time required for tomo MLC to switch between open/closed states?

A

10 msec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the jaw options?

A

1.0 / 2.5 / 5.0 = 3 different settings

Smaller jar size, longer treatment time
Larger jaw size, less conformality

2.5 is the most common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the planning parameters can be manipulated in the tomo planning system?

A
  • jaw width
  • tightness of helix (ie. Pitch)
  • modulation factor
  • DVH goals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the dose of MVCT image acquisition?

A

1-3 cGy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the benefit of radixact couch over traditional tomo couch?

A

Radixact couch have independent axes which can eliminate cobra motion and reduce couch sagging
(5mm vs 2mm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

With reference to TG148, what are the QA parameters?

A
  • 85 SSD
  • 1.5cm depth
  • FS = 5cm x 40cm
  • 10s warmup added on delivery side
  • configured to 1000MU/min
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the equation for pitch in tomo?

A

Couch travel distance per rotation divided by field width

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do pitch <1 means:

A

Overlap from one rotation to the next
(More tightly wound helix)
Usually must smaller than one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How many beamlets do a single gantry rotation have?

A

51 (projections) x 64 (beamlets per projection)
= 3264 beamlets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a leaf sinogram?

A

A leaf sinogram s a 2D representation of the leaf pattern necessary to deliver dose to the tumour

17
Q

What are the setting user input?

A
  • patient image set
  • IVDT
  • display and use options for structures
  • field width
  • pitch
  • blocking
  • modulation factor
  • dose calculation grid
18
Q

What do the minimum planning scan distance beyond the target account for?

A
  • irradiation region
  • divergence
  • penumbra
19
Q

What is IVDT?

A

Image value to density table
= the IVDT converts CTT numbers to mass density

20
Q

How can minimise thread effect?

A
  1. Set up patient with target closer to the central axis
  2. Use smaller numbers for the pitch (0.86/n)
21
Q

What is modulation factor (MF)?

A

= the modulation factor I a number that the user enters to influence the balance between efficiency and conformality

= upper limit on the range of open times for ‘used’ beamlets

Conformality: unequal weighting of beamlets for treating the target and avoid sensitive structures

Efficiency: the most efficient way to deliver all the dose is to weight all the beamlets equally

22
Q

What is the formula for modulation factor

A

Max open time divided by average open time

23
Q

What are typical MF value

A

Prostate = 1.8
HN = 2.4

24
Q

What are the effects when adjusting the MMF

A

Increasing the MF increases delivery time, decrease efficiency

Decrease the MF may degrade dose conformity

25
Q

How to reduce delivery times?

A
  • use the largest field width that produce an acceptable plan
  • use the smallest modulation factor that produces an acceptable plan
26
Q

Will adjusting the pitch affecting the treatment time?

A

Th pitch does not affect the treatment time as long as 12 sec <gantry period<60 sec / rotation (gantry speed)

27
Q

What should we do before machine quality asssurance

A
  • turn the machine on and wait until the machine water temperature reaches 40 degree
  • run a 5 min warm up
  • run an air scan