Radiation Physics Quiz: Percentage Depth Dose
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Questions and Answers

What is the reference depth for percentage depth dose calculations with orthovoltage x-rays?

  • The depth of 80% dose
  • The depth of maximum dose
  • The surface (correct)
  • The depth of 50% dose
  • Which of these parameters does NOT influence the central axis depth dose distribution?

  • Source to surface distance (correct)
  • Beam quality
  • Field size
  • Depth
  • What is the effect of increasing beam energy on percentage depth dose beyond the depth of maximum dose?

  • Percentage depth dose fluctuates unpredictably
  • Percentage depth dose increases (correct)
  • Percentage depth dose remains constant
  • Percentage depth dose decreases
  • The percentage depth dose variation with depth, excluding the effects of inverse square law and scattering, is approximately governed by which of the following?

    <p>Exponential attenuation (A)</p> Signup and view all the answers

    How does the average attenuation coefficient (µ) influence the percentage depth dose?

    <p>A higher µ results in a lower percentage depth dose (C)</p> Signup and view all the answers

    What is the region between the surface and the point of maximum dose called?

    <p>Dose build-up region (B)</p> Signup and view all the answers

    What does the dose build-up effect of higher-energy beams give rise to clinically?

    <p>Skin-sparing effect (B)</p> Signup and view all the answers

    What is the relationship between depth and percentage depth dose beyond the depth of maximum dose?

    <p>Percentage depth dose decreases with depth (A)</p> Signup and view all the answers

    What is the main reason why higher energy photon beams are advantageous for treating deep-seated tumors?

    <p>They have a lower surface dose, minimizing skin damage while delivering high doses to the tumor. (A), They have a higher penetration depth, reaching the tumor more effectively than lower energy beams. (B)</p> Signup and view all the answers

    Which of the following accurately describes the relationship between absorbed dose and kerma in the context of radiation therapy?

    <p>Kerma is maximum at the surface and decreases with depth, while absorbed dose initially increases with depth and then decreases. (B)</p> Signup and view all the answers

    What is the primary reason for the 'build-up' of absorbed dose in the patient's tissue?

    <p>The deposition of energy by electrons ejected from the tissue by photons. (C)</p> Signup and view all the answers

    What is the relationship between the range of electrons and the depth at which the absorbed dose reaches its maximum?

    <p>The depth of maximum dose is approximately equal to the range of electrons in the medium. (C)</p> Signup and view all the answers

    What does 'kerma' represent in the context of radiation therapy?

    <p>The energy transferred from photons to charged particles in the tissue. (D)</p> Signup and view all the answers

    Why does kerma decrease with depth in the patient's tissue?

    <p>The energy of the photons decreases as they penetrate deeper into the tissue. (A)</p> Signup and view all the answers

    What is geometrical field size in the context of radiation therapy?

    <p>The size of the collimator opening as seen from the radiation source. (D)</p> Signup and view all the answers

    How does the electron fluence affect the absorbed dose in the tissue?

    <p>The absorbed dose is directly proportional to the electron fluence. (C)</p> Signup and view all the answers

    If the contribution of scattered photons to the depth dose is negligibly small, what can be inferred about the field size?

    <p>The field size is very small. (A)</p> Signup and view all the answers

    Which of the following is the correct definition of the source-axis distance (SAD)?

    <p>The distance from the source to the isocenter, which is the axis of gantry rotation. (D)</p> Signup and view all the answers

    How does the beam quality affect the field size dependence of percent depth dose?

    <p>Lower energy beams have a more pronounced field size dependence. (B)</p> Signup and view all the answers

    What is the primary reason for using equivalent squares when dealing with rectangular or irregularly shaped fields?

    <p>It simplifies the calculation of depth dose for non-square fields. (C)</p> Signup and view all the answers

    According to Sterling's rule of thumb, what is the relationship between a rectangular field and its equivalent square field regarding area/perimeter?

    <p>Equivalent square has the same A/P. (B)</p> Signup and view all the answers

    Which of the following contributes the most to the depth dose at larger depths as the field size increases?

    <p>Scattered radiation (B)</p> Signup and view all the answers

    What is the significance of the 50% isodose curve in defining dosimetric field size?

    <p>It represents the point where the dose is half of the maximum dose. (C)</p> Signup and view all the answers

    What happens to the percent depth dose as the field size increases?

    <p>It increases. (A)</p> Signup and view all the answers

    According to the provided information, what is the relationship between photon fluence and distance from the source?

    <p>Photon fluence is inversely proportional to the square of the distance from the source. (A)</p> Signup and view all the answers

    How does tissue-air ratio (TAR) differ from percent depth dose (PDD)?

    <p>TAR is independent of source-to-surface distance (SSD), while PDD is not. (A)</p> Signup and view all the answers

    What is the primary factor that affects the variation of TAR with depth beyond the depth of maximum dose (dm) for narrow beams?

    <p>The effective attenuation coefficient (µ<sub>eff</sub>) (A)</p> Signup and view all the answers

    Which of these factors is NOT directly a factor in determining the tissue-air ratio (TAR)?

    <p>Source-to-surface distance (SSD) (A)</p> Signup and view all the answers

    What is the relationship between the backscatter factor (BSF) and the tissue-air ratio (TAR)?

    <p>BSF is the TAR at the depth of maximum dose (d<sub>m</sub>). (A)</p> Signup and view all the answers

    How does the variation of TAR with depth change as the field size increases for high-energy megavoltage beams?

    <p>It becomes less exponential and more complex. (C)</p> Signup and view all the answers

    What principle makes TAR a more practical quantity than PDD in clinical radiation therapy?

    <p>TAR is independent of the source-to-surface distance (SSD). (C)</p> Signup and view all the answers

    Which of these factors has the LEAST impact on the variation of TAR with depth?

    <p>SSD (Source-to-surface distance) (C)</p> Signup and view all the answers

    What does the backscatter factor (BSF) primarily represent in the context of radiation therapy?

    <p>The amount of scatter radiation reaching the depth of maximum dose. (C)</p> Signup and view all the answers

    What is the primary reason for the backscatter factor (BSF) being higher for orthovoltage beams compared to megavoltage beams?

    <p>Orthovoltage beams have a lower energy, resulting in greater scattering in the medium. (C)</p> Signup and view all the answers

    Which of the following statements accurately describes the backscatter factor (BSF)?

    <p>BSF is a measure of the increase in dose at the surface due to scattered radiation. (D)</p> Signup and view all the answers

    If a 10 x 10 cm field is used for a 60Co beam, what is the approximate percentage increase in dose at the depth of maximum dose (Dmax) compared to the dose in free space?

    <p>3.6% (B)</p> Signup and view all the answers

    What is the primary purpose of using the Tissue-Air Ratio (TAR) method to convert percent depth dose from one SSD to another?

    <p>To adjust for changes in the field size at the depth of interest. (D)</p> Signup and view all the answers

    What is the primary use for Scatter-Air Ratio (SAR) in radiation dosimetry?

    <p>To calculate the amount of scattered dose at a given point in the medium. (B)</p> Signup and view all the answers

    Which of the following is NOT a factor influencing the Tissue-Air Ratio (TAR)?

    <p>Distance from the source (A)</p> Signup and view all the answers

    Which of the following statements correctly describes the relationship between Tissue-Air Ratio (TAR) and Percent Depth Dose (PDD)?

    <p>TAR and PDD are related, and TAR can be used to convert PDD from one SSD to another. (B)</p> Signup and view all the answers

    How does the Mayneord factor, used in the TAR method, account for the variation in field size at depth?

    <p>By multiplying the TAR by the ratio of field sizes at depth. (B)</p> Signup and view all the answers

    Flashcards

    Megavoltage beams

    High energy radiation beams like cobalt-60 that deliver doses deep in the body without affecting the skin.

    Percentage Depth Dose (P)

    Quotient of absorbed dose at depth d to absorbed dose at reference depth do, expressed as a percentage.

    Surface dose

    The dose of radiation delivered at the surface of the skin.

    Percent depth dose (PDD)

    The ratio of dose delivered at a certain depth to the dose delivered at surface level.

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    Reference Depth (do)

    Depth at which absorbed dose is measured for percentage depth dose; varies by energy level.

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    Kerma

    Kinetic energy released in material, defined as the initial kinetic energies of charged particles from neutral particles.

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    Maximum Dose (Dmax)

    The peak absorbed dose at the central axis, usually called maximum dose.

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    Initial Dose Build-Up

    The increase in absorbed dose as radiation penetrates tissue, especially evident in higher energies.

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    Electron fluence

    The number of electrons passing through a unit area; impacts dose delivery in tissues.

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    Skin-Sparing Effect

    Higher-energy beams deposit maximum dose deeper in tissue, minimizing dose at the surface.

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    Dose buildup

    The phenomenon where dose increases with depth due to electrons traveling downstream until maximum is reached.

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    Absorbed dose

    The amount of radiation energy absorbed per unit mass of tissue, varies with photon energy fluence.

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    Beam Quality

    Refers to the energy or penetrating power of a radiation beam; affects depth dose distribution.

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    Attenuation Coefficient (µ)

    A measure of how easily the beam is absorbed; lower values indicate more penetration.

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    Field size in radiation therapy

    The physical dimensions of the treatment area defined geometrically or dosimetrically.

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    Dose Build-Up Region

    Area between the surface and the maximum dose point where dose initially increases.

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    Dosimetric field size

    The distance intercepted by a given isodose curve on a plane perpendicular to the beam at a specified distance.

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    Source Surface Distance (SSD)

    A predefined distance from the radiation source to the patient's skin surface for assessing dosimetric field size.

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    Source-Axis Distance (SAD)

    The distance from the radiation source to the axis of gantry rotation, known as the isocenter.

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    Scattered radiation

    Radiation that has interacted with matter and changed direction before reaching the target area.

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    Effect of field size on PDD

    As field size increases, the contribution from scattered radiation to the absorbed dose also increases.

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    Equivalent square

    A rectangular field can be equated to a square field based on area/perimeter equivalence.

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    Area/Perimeter method

    A rule to equate rectangular and square fields by comparing their area to perimeter ratios.

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    Square Field Dimensions

    A square field has equal width and length, here 13.3 cm each.

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    Inverse Square Law

    Intensity of radiation decreases with the square of the distance from the source.

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    Photon Fluence

    The number of photons passing through a unit area, varies with distance from the source.

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    Collimation

    The process of narrowing a beam of particles or waves, influencing dose distribution.

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    Dose Rate in Free Space

    The amount of radiation dose delivered per unit time, decreases with distance per the inverse square law.

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    Minimum SSD for Megavoltage Beams

    Minimum recommended SSD is 80 cm for effectively treating deep-seated lesions.

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    Backscatter Factor (BSF)

    Ratio of dose at a certain point to the dose in free space, influenced by beam quality and field size.

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    Tissue-Air Ratio (TAR)

    Ratio comparing absorbed dose in tissue to that in air at a specific depth.

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    Field Size Impact on BSF

    Larger field sizes can lead to higher BSF values, increasing surface doses.

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    Percent Depth Dose (PDD) Calculation

    Comparison of dose at various depths to a reference depth dose; crucial for dosimetry.

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    Mayneord Factor

    Correction factor used to adjust PDD between different source-surface distances (SSDs).

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    Scatter-Air Ratio (SAR)

    Ratio of scattered dose at a point in the medium to the dose in free space at the same point.

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    Dmax Relation to BSF

    Dmax is the point where maximum dose is achieved; BSF can increase the effective dose at Dmax.

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    Depth Dose Interrelation

    TAR and PDD are interrelated; understanding one aids in comprehending the other.

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    SSD Correction

    Adjustment to PDD based on the source-to-surface distance.

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    TAR Formula

    TAR (d, rd) = Dd/Dfs, where Dd is dose in phantom and Dfs is dose in free space.

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    TAR Independence

    TAR is approximately independent of the distance from the source in clinical ranges.

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    Field Size Impact

    Larger field sizes increase scatter, making TAR variation with depth more complex.

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    TAR Exponential Variation

    For megavoltage beams, TAR varies approximately exponentially with depth beyond maximum dose.

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