Linacs Flashcards

1
Q

target/flattening filter combos for MV linacs

A

For E < 15 MV, use High Z target and low Z filter (good bremstrahlung in target)
For E > 15 MV, use low Z target and low Z filter due to pair production at higher energy

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2
Q

Types of steering coils

A

position radial and transverse
angular radial and transverse
-angular radial bends electron beam towards target
-angular transverse adjusts position of beam on its way to the target

SEE DIAGRAM PG 23 OF STEREO NOTES

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3
Q

why does steering affect beam flatness and symmetry?

A

affects how electrons strike target and how resulting photon beam strikes the flattening filter

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4
Q

what do focusing coils do?c

A

correct for beam divergence, which results from a small radial component of the electric field in the accelerating waveguide, and from the repulsion among electrons in the pencil beam

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5
Q

what forms the epid?

A
  1. copper plate- yields compton
    2.phosphor: gadolinium oxysulfide, to convert x-rays to light rays and enhance sensitivity by 10
    3.photodiode with thin film transistor for readout
    4.ADC (analog to digital converter)
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6
Q

how are pulses used in linacs?

A

o DC power supply provides DC power to pulsed modulator which includes pulse forming network, which produces flat topped pulses of ~5 microseconds, with ~5 ms interpulse duration. These pulses are delivered to the magnetron/klystron (Truebeams use klystron) and to the electron gun. Amplified microwaves from the klystron are then injected into the waveguide along with electrons from the electron gun.
o The C series linacs (ix, ex) modify the dose rate by dropping or including pulses, while pulse width remains fixed. On Trubeams, the pulse width is modified. In fact, for the 2.5x beam, in order to obtain adequate dose rate with such a low energy beam, the pulses must be very long; almost the same length as the pulse interval itself, such that the beam is almost continuous.

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7
Q

describe the EPID design

A

image detector unit = photodiodes (amorphous silicon) with scintillating layer above
image acuisition system reads and stores data from the IDU

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8
Q

Microwave frequency of linacs

A

3 GHz
cyber knife is X band (10GHz)

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9
Q

how does the linac accelerate electrons?

A

-the linac accelerates electrons by standing or moving EM waves
-in the standing wave design, the electrical component of the wave moves the electrons; microwave power is joined into the structure by side coupling cavities rather than through the beam aperture
-in the travelling waveguide, the electrons are moved on the accelerating wave

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10
Q

how to get higher energy beam?

A

use more accelerating waveguides

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11
Q

why is the couch made of carbon fiber?

A

reduces scatter radiation (higher image quality and better dose distribution)

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12
Q

why does HD120 have smaller DLG than millenium MLC

A

The increased radius of curvature
and leaf thickness in the HD120 MLC will cause a
decrease in the transmission through the rounded leaf
ends, resulting in a smaller DLG compared to the Millennium
MLC

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13
Q

what dos DLG not depend on?

A

-DLG measurements are independent of SSD and
depth, assuming correction for geometric magnification
of the gaps
DLG is independent of dose rate.

to measure DLG, plot dose vs gap and extrapolate to where dose = 0

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14
Q

millenium MLC leaf specs

A

40x0.5 cm inner
20x1 cm outer
40x40 field size
leaf thickness 6.7 cm
radius of curvature 8 cm

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15
Q

HD 120 leaf specs

A

32X 0.25 cm outer
28 x 0.5 cm inner
22Y X 32 X FS
6.9 cm thickness
16 cm radius of curvature

dosimetric advantages for HD 120 are likely only for tumours < 1 cm in diameter

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16
Q

why use rounded leaf ends?

A

attenuation occurs in rounded ends along chords of a circle
penumbra is same width regardless of position of leaf in beam
constant beam transmision through leaf end regadless of position of leaf in beam

-with rectangle ends, penumbra would strongly depend on field size, where the MLC is in the beam

17
Q

how close should 2 machines be if they are beam matched?

A

2%

18
Q

what is golden beam data?

A

reference dosimetric data set provided by manufacturer

19
Q

monthly correction applied to Co60 due to source decay

A

1% per month
-increases treatment time

20
Q

what is protraction

A

total duration of the treatment (number of days between the 1st and last session)

21
Q

what does servo do?

A

-drops pulses if machine is running hot so the average dose rate is maintained
-ref chamber in beam scanning accounts for changes in number of pulses

22
Q

what is instantaneous dose rate

A

dose per pulse

23
Q

how do you change dose per pulse on linac?

A

-change dose per pulse by going to larger SSD (change inverse square)