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1
Often used when the depth of the target is uncertain.
parallel opposed l
2
Dosimetry Parameters
output factor isodose tpr tar tmr pdd sar smr backscatter factor collimator scatter factor
3
It can also be used to compensate variations in contour surface contour to eliminate air gaps in cavities.
bolus
4
Cerrobend (lipowitz metal) melting point is what?
165 degrees F (74 degrees Celsius)
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Sizes of wedges
15, 30, 45 and 60 degrees
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Wedge Placed 15 cm from what
skin surface
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used in cobalt
individual wedge
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As the distance between the skin and compensator increase the thickness ratio what?
decreases
9
Frequently employed in treating large fields.
parallel opposed
10
High dose areas can be avoided by using a multiple field arrangement in which all beams encompass the target include different areas of surrounding normal tissues.
multiple field arrangements
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Three field technique is for what organs
pancreas bladder rectum
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Also often used during a portion of disease of the brain, pelvis, head and neck, lungs, pancreas, and extremities.
parallel opposed
13
Is the volume of tissue that receive a dose considered significant in relation to tissue tolerance.
irradiated volume
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Shielding blocks thickness
7.5 cm
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Compensator consideration
Compensator to surface distance (less than 20 cm) Field size Depth Beam quality
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Placed in the head of treatment unit, thus modifying the radiation beam to accommodate the contour of the patient.
compensator
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Used to shape photon or electron fields, take several forms. Materials range from spent uranium to lead to lead alloys.
shielding blocks
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Types of beam modification
Shielding Compensation Wedge filtration Flattening
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Can be designed to produce uniform dose distributions.
multi field arrangements
20
Bolus of a thickness equal to the depth of maximum dose eliminates WHAT of megavoltage photon beams.
skin sparing effect
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Treatment preparation
gross tumor clinical target volume planning target volume treated volume irradiated volume
22
As the distance between the skin and compensator what? the thickness ratio decreases
increases
23
It is really just a variation of SAR and, like SAR, is mainly used in calculation of scattered dose in phantom or tissue.
scatter maximum ratio
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More reproducible
parallel opposed
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Contains the tissues that are to be irradiated to a specific dose according to a specified time-dose pattern.
planning target volume
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Full shielding blocks are constructed to transmit how much of the original beam
less than 5%
27
The acceptability of treatment plan depends not only on the dose distribution but also on:
practical feasibility setup accuracy reproducibility of the treatment
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Is the volume enclosed by an isodose surface, selected and specified by radiation oncologist as being appropriate to achieve the purpose of treatment.
treated volume
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Cadnium transmit how many percentage
10
30
It represents points of equal dose.
isodose
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Shielding blocks how much at 20 degrees
9.4 g/cm3
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It is define as the ratio of the dose at a specific point in tissue or in a phantom to the dose at the same distance in the beam at a reference depth, usually 5 cm.
tpr
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Wedges are made of
Tungsten, lead, steel
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Types of beam modification devices
Field blocking and shaping devices Compensators Beam spoilers Wedge filters Beam flattening Bolus Breast cone Penumbra trimmers Electron beam modification
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Two types of shielding blocks
positive, negative
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Originally designed to be used in the treatment of small shallow tumors..
wedge field
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The setup accuracy of a treatment may be better with what?
parallel opposed
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Multiple angled fields are possible to set up.
parallel opposed
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The target volume extends throughout a particular area treated.
parallel opposed
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Leadtransmit how many percentage
26.7
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Wedges
Individual wedges Universal wedges Dynamic wedges Virtual wedges Pseudo wedges
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Is defined as the ratio of dose on the central axis at Dmax to the dose at the same point in air.
backscatter factor
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Special beam modifiers where shadow trays made from lucite are kept at a certain distance from the skin
beam spoilers
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It is based on the measurement of the temperature rise of a given volume element of this instrument when it is exposed to a source of radiation.
calorimetry
45
Fricke dosimetry also called as
ferrous sulfate dosimetry
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as been applied to measure relative dose distributions in an anthropomorphic polystyrene breast phantom having cork lungs, simulating a radiation therapy treatment with 6 MV opposing tangential beams. ... These results demonstrate that film dosimetry is a useful tool for treatment planning verification.
film dosimetry
47
Wedge Placed how much from the skin surface
15 cm
48
Box technique is for what organ
pelvic tumor
49
also called ferrous sulfate dosimetry, is one of the most useful chemical dosimeters in existence. This dosimetry technique depends on the oxidation of ferrous ions (Fe2+) to ferric ions (Fe3+) by ionizing radiation
fricke dosimetry
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Important factors to consider in choosing single field
The range of dose within the tumor The maximum dose in tissues The exit dose
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Risks of tumor miss are reduced.
parallel opposed
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Certain beam angles are prohibited due to the presence of critical organs in those direction
multiple field arrangements
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Compensator devices
brass copper lead lucite
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Probably the most commonly used field of arrangement.
parallel opposed
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Arc Treatment
moving beam
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The gross palpable or visible/demonstrable extent and location of malignant growth.
gross tumor volume
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Shielding blocks 9.4 g/cm3 at how many degrees
20
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Often used to treat metastatic disease in various sites.
parallel opposed
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Is a special case of TPR where the reference depth is chosen to be at Dmax.
tissue maximum ratio
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What field is box technique
multiple field arrangements
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Allow to transmit of predetermined percentage of the treatment beam to a portion of the treatment field and may be used throughout the course of the treatment.
transmission filter
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Rotation therapy
moving beam
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The used of these is use to alter the dose distribution in beam.
wedge field
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The incidental irradiation of large volume of normal tissues situated within the fields
parallel opposed
65
Bismuth transmit how many percentage
50
66
provides a real advantage to radiation therapy departments in that it allows rapid and easy calibration of output at the end of treatment cones.
thermoluminescence dosimetry
67
Output measured without a scattering phantom, sometimes referred to as in-air, increases with increase in field size.
collimator scatter factor
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Superficial targets
single field
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It is define as the ratio of the dose at a specific point in tissue or in a phantom to the dose at the same distance in the beam at a reference depth, usually HOW MUCH
5 cm
70
It is designed to change the isodose curve relative to the beam axis at specified depth to the patient. Wedge reduce the dose in areas of overlap between fields that have hinge angles. Less than 180 degrees.
wedges
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Refers to the material whose interactions with radiation beam mimic those tissue.
bolus
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Typical Field Arrangement
Single Field Parallel opposed field Multiple field Wedge field Moving Beam Treatment
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Skewed dose distribution.
compensator
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Individual wedges - used in what?
cobalt
75
Define as the ratio of the dose rate at the depth maximum dose for the reference field size to the reference field size.
output factor
76
Used to shape photon or electron fields, take several forms. Materials range from spent what
uranium to lead to lead alloys.
77
Tin transmit how many percentage
13.3
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Its melting point 165 degrees F (74 degrees Celsius)
Cerrobend (lipowitz metal)
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It is the ratio of the scattered dose at a given point in a medium to the dose in air at the same point.
scatter air ratio
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Combining Fixed and Moving-beam Technique.
moving beam
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It is the ratio of the dose at a given point in a medium to the dose at the same point in the free space
tar
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Field blocking shaping filters
Shielding blocks Custom blocks Asymmetrical jaws Multi- leaf collimators
83
In wedge x and y is what
width, legth
84
The dimension and shape of the compensator must be adjusted to account for
Beam divergenc Linear attenuation coefficient of the filter material and soft tissue Reduction in scatter
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is the best technique for absolute and direct measurement of absorbed dose.
calorimetry
86
Absorbed dose measurement methods
Calorimetry Fricke dosimetry Film dosimetry Ionization method Thermoluminescence dosimetry
87
Is a tissue volume a demonstrable GTV and/or subclinical microscopic malignant disease must be eliminated.
clinical target volume
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It is the absorbed dose at a given depth expressed as a percentage of the absorbed dose at reference depth on the central axis of the field.
pdd
89
Bolus devices
Paraffin wax Vaseline gauze Wet gauze or towels Water bags