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Medical Physics: Radiotherapy > Radiotherapy Equipment > Flashcards

Radiotherapy Equipment Flashcards

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1
Q

What are the differences between diagnostic and therapeutic X-Ray systems?

A

Diagnostic -

  • Rotating anode at step angle (6-15deg)
  • Adjustable light-beam diaphragm/collimators
  • Target at positive voltage
  • Typically fixed filtration

Therapeutic:

  • Fixed target at shallow angle (30-40deg)
  • Interchangeable applicators
  • Target at ground (0V)
  • Intercahngeable filter
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2
Q

Why is Tungsten used as the cathode in a therapeutic X-Ray set?

A

High melting point.

High atomic number - low binding energy of outer shell electrons.

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3
Q

By which process are electrons released from a tungsten filament?

A

Thermionic Emission

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4
Q

How does the filament current affect the intensity of the x-ray beam?

A

As the filament current increase numer of electrons accelerated per unit time increases.
X-Ray intensity is the number of photons of a given energy per unit area per unit time.
More electrons make more photons, more photons give more total-energy to beam.

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5
Q

How is the intensity of a beam proportional to the voltage across the tube?

A

Proportional to kV^2

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6
Q

Why is a non-rotating anode feasible in a therapeutic X-Ray set?

A

Small focal spot (required for sharp images) not needed. Energy can be deposited over a larger area.

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7
Q

What percentage of electrons produce either characteristic X-Rays or bremsstrahlung at therapeutic energies?

A

1%

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8
Q

Why are additional filters added to the end of the X-Ray set?

A

Harden the beam by removing unwanted low-energy “soft X-rays” that only contribute to skin dose.

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9
Q

What are two sources of inherent filtration in a therapeutic X-Ray set?

A

Filtration from the anode itself.

Filtration through Beryllium window.

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10
Q

What functions do the applicators provide?

A

Collimation of the therapeutic beam.

Keeps Fixed SSD.

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11
Q

What are the differences between at Co-60 Unit and a Linac?

A 
Co-60:
- Fixed energy (1.17 & 1.33MeV)
- Single modality
- Cheaper
- Specialised Systems - Gammaknife
Linac:
- L-Shaped gantry
- Multi-Modality and varying energy
- Better penetration than Co-60
- Specialised systems - Tomotherapy, Cyberknife.
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12
Q

What are the main components of a Linac gantry?

A
  • Modulator
  • Electron gun
  • Microwave Generator
  • Accelerating Waveguide
  • Bending Magnet
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13
Q

What does a modulator primarily consist of?

A
  • Pulse forming Network

- Thyratron (high-speed switch)

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14
Q

What is the pulse repetition frequency of a Modulator?

A

200-300Hz

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15
Q

What is the function of a modulator?

A

Supplies 1us pulses to electron gun and Microwave generating system cathodes.

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16
Q

What are the main components of the electron (triode) gun?

A
  • Heater (element)
  • Cathode
  • Grid
  • Anode
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17
Q

What shape is the cathode and what is the reason for this?

A

Concave shape focusses electron emissions.

18
Q

What is the function of the grid?

A

High-speed switching of =/- potential

Pulses adjusted to phase match electron injection with microwaves.

19
Q

What are the two devices used to generate microwaves in a Linac?

A

Magnetrons and Klystrons

20
Q

How does a magnetron generate a microwave pulse?

A

Cathode releases electrons through thermionic emission
Electrons follow a spiral path due to a combination of a pulsed E-field and a static B-field.
This creates an electric field across the cavities
Width of cavities determines the resonant frequency.
At resonant frequency electrons bunch up and in circulating create feedback loop which amplifeis power.

21
Q

How does a klystron generate an amplified microwave signal?

A
  • Low power microwaves and electrons injected into first cavity
  • Microwaves bunch electrons together at input frequency.
  • Increases electric field density, amplifies e-field of microwaves.
  • “Catcher cavity” tuned to resonate at bunch frequency funnels high powered microwaved into the waveguide.
22
Q

What are the differences between a travelling and a standing wave guide?

A

Travelling waveguide has a simpler design but is longer.

A Standing waveguide can have the microwaves injected at any point, not just the gun end.

23
Q

At what speed do the electrons leave the buncher section of an accelerating waveguide?

A

0.99c

24
Q

Why are the cavities in the buncher section shorter?

A

Reduces microwave phase velocity to 0.4c similar velocity to that of electrons.

25
Q

Once the cavity diameter becomes constant, how do the electrons gain energy?

A

Through mass increase.

26
Q

What cavity parameter does the resonant frequency depend on?

A

Cavity diameter.

27
Q

How does a bending magnet act as an energy discrimiator?

A

Electrons with too high an energy are bent to much, and those with too little energy aren’t bent enough to reach the linac head.

28
Q

What are three common types of bending magnet?

A

90deg
112.5deg slalom
270deg doubly achromatic

29
Q

What advantage does a 270deg bending magnet have over a 90deg?

A

270deg ensure that electrons exit the system at the same point and at the same angle ensuring a small focal spot size.
90deg would require excessive control over electron energy to avoid focal spot broadening.

30
Q

What are the main components of a Linac head when using photons?

A
  • Primary, secondary and tertiary collimators
  • Photon targe
  • Flattening filters
  • Monitor chambers
  • Physical wedge
  • Accessory holder.
31
Q

What are the main components of a Linac head when using electrons?

A
  • Primary secondary, and tertiary collimator
  • Scattering foils
  • Monitor Chambers
  • Applications/cut-outs.
32
Q

What is the purpose of the primary collimator?

A

Defines the maximum extent of the treatment field.

33
Q

What are important properties for a Linac photon target?

A
  • High Z
  • High density
  • High melting point
34
Q

What radiation is produced from a Linac target?

A

Bremsstrahlung

35
Q

What is the purpose of flattening filter?

A

Creates equal intensity across beam profile.

36
Q

What is the purpose of the two electron foils?

A

First broadens out the pencil beam from the gantry.

Second flattens the broadened beam.

37
Q

What are important qualities for an electron foil?

A
  • Low Z (Al)
  • Maximise scatter, Minimise attenuation
  • Minimal X-ray production.
38
Q

What are the differences between a photon and an electron monitoring chamber?

A

Electron chambers require thin walls to minimise attenuation, this could lead to buckling due to changes in atmospheric temperature and pressure, so are unsealed.
Photon chambers can have thick walls without much attenuation, so are sealed.

39
Q

Why are there two monitor chambers in a Linac?

A
  • Primary chamber measures dose/dose rate, and radial symmetry
  • Secondary monitor measure dose/dose rate (redundancy) and transverse symmetry and flatness.
40
Q

What is the purpose of the secondary collimators?

A

Defines the 2-D treatment field.

Medical Physics: Radiotherapy (7 decks)

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