Therapy Machines Flashcards
Characteristics of a Superficial Unit:
- 50-150 kVp
- 8 mA
- SSD = 20cm
- 2000 rad/min Max
- dmax = surface
- spec’d out by Al (not kVp) - also called “aluminum beam”
Characteristics of an Orthovoltage Unit:
- 150-500 kVp
- 10-20 mA
- SSD = 50cm
- 100 rad/min
- dmax = surface
- spec’d out by Cu (not kVp) - also called “copper beam”
What is the range of a Superficial Unit?
8cm in tissue
What is the HVL of a Superficial Unit?
8mm Al
What is the d90 of an Orthovoltage Unit?
d90 = 2cm
What is the HVL of an Orthovoltage Unit?
1-4mm Cu
What is needed to calculate MU/time for Superficial and Orthovoltage units?
- Filter type
- BSF
- Output in Air
- Air gap (if present)
For Superficial and Orthovoltage units, what will a change in filter affect?
HVL and Dose Rate
For Superficial and Orthovoltage units, an increase in HVL will result in what?
increasing the PDD (beam hardening)
How does filtering shift a beam for Superficial and Orthovoltage units?
Filtering shifts the avg E to the right (max E does not change with filtration)
How does Co-60 decay?
beta- with release of 2 gamma rays
What initial source E is a Co-60 unit loaded with?
10,000 Ci
What is the Dose Rate of a Co-60 Unit?
200 cGy/min at 80cm
What is the dmax of a Co-60 Unit?
0.5cm
What is the source size of a Co-60 Unit, and will this create small or large penumbra?
ss = 1.5 - 2cm (with circle end facing pt); large penumbra
What are some advantages of Co-60 Units when compared to Cs-137 and Ra-226?
- Higher specific Activity
- Increased Output/Ci
- Higher E - deeper penetration
What are the leakage rates of Co-60?
OFF: 2mR/hr Avg; 10mR/hr Max
ON: 0.1% of dose in air at 100cm (same as LINAC)
Medical Cyclotrons accelerate ____?
charged particles (not electrons)
What energy is a Low E Cyclotrons, and what elements can they produce?
<18 MeV; F-18, O-15, N-13, C-11
What energy is a Medium E Cyclotrons, and what elements can they produce?
18 MeV to 40 MeV; I-123, TI-201, Pd-103
What energy is a High E Cyclotrons, and what elements can they produce?
> 40 MeV; Cu-67
What imaging agents are used for myocardial perfusion?
TI-201 and N-13
What imaging agents are used for myocardial metabolism?
I-123
What imaging agents are used for soft tissue tumor imaging?
Ga-67
What imaging agents are used for regional glucose metabolism (besides kidneys and brain)?
F-18
What imaging agents are used for blood flow (for brain)?
C-11
What imaging agents are used for oxygen metabolism?
O-15
General operation flow of LINAC:
- Klystron/Magnetron generate MW energy;
- Waveguide carries MW from Klystron to Accelerator Tube (guide);
- Electron gun injects e’ into Accelerator tube;
- MW accelerate e’ close to the speed of light;
- Bending Magnet directs e’ beam to tx head;
- e’ beam interacts with target (for x-ray) or scattering foil (for e’) to generate tx beam
Flow of tx head for Photon production:
- e’ beam hits tungsten (or gold) target;
- Primary collimator;
- Flattening Filter;
- Ion chamber;
- Secondary collimator (jaws);
- Slot for hard wedge, blocks, compensators
Flow of tx head for e’ production:
- e’ beam passes through primary collimator;
- Scattering Foil;
- Ion Chamber;
- Secondary collimator;
- Accessory Mount;
- Electron Applicator (cone)
Characteristics of a Modulator:
- Pulse forming - pulse and repetition
- Thyratron switch
- Pulsed DC provided to e’ gun
- Pulsed DC provided to MW generator
Characteristics of a Klystron:
- Power Amplifier (low level MW to high level MW) - requires input power
- High E
- Stable
Characteristics of a Magnetron:
- High power oscillator
- Low E (<12 MeV)
- Circular cavity
- Unstable
Material of a Accelerator Guide, why:
Copper cavities: heat and electric conductivity
Characteristics of a Traveling Wave (accelerator guide):
- Long guide
- 75 keV
- Dummy load required
Characteristics of a Standing Wave (accelerator guide):
- Short guide
- 150 keV
- NO dummy load required
Characteristics of a circulator (isolator):
- prevents damage from reflected MW power
Characteristics of an Electron Gun:
- Injects e’ into the Accelerator Guide
- Thorium impregnated Tungsten filament
- Copper Anode
- Control grid
Characteristics of an Accelerator Guide:
- Evacuated (vacuum to keep out contaminants)
* *note: the rf wave guide has freon or SF6, NOT the accelerator guide**
Characteristics of a Bending Magnet
- Bend e’ to 90 or 270 degrees
2. maintain small focal point
How is output affected by Asymmetrical jaws:
- Sc is about the same
- Sp similar to block
- Changes to Off axis ratio
- Normalization
Effects on dose profile when 1/2 beam blocking:
Energy at gradient is produced by Compton scattering - 2cm from CAX to 100% isodose line to 50% isodose line
MLC intra-leaf transmission
1-2%
MLC inter-leaf transmission
3-4%
MLC Acceptance Testing:
- Actual Leaf Position
- Time Reach Position
- Radiation (intraleaf) Leakage
- Interleaf Leakage
- Beam Contamination
- Repeated at several gantry angles
MLC Characteristics:
- not as accurate as Cerroban
- More efficient than blocks
- Tongue and groove effect
Jaw Transmission
<1%
Cerroban Transmission
3-5%