Radiation Therapy Techniques

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Questions and Answers

Varian MLC is an example of which of the following?

  • Upper jaw replacement
  • Tertiary collimator system (correct)
  • None of these
  • Lower jaw replacement

In Elekta MLC, leaves move in which direction?

  • X direction (correct)
  • Z direction
  • Can move in all three directions
  • Y direction

What material is most commonly used for custom blocks?

  • Iron
  • Cerrobend (correct)
  • Lead
  • Aluminium

What is the melting point of Lipowitz metal?

<p>70°C (A)</p> Signup and view all the answers

The permissible limit of X-ray transmission through MLC should be less than which percentage?

<p>2% (B)</p> Signup and view all the answers

The thickness of the shielding material depends on which factor?

<p>Energy of radiation (D)</p> Signup and view all the answers

Asymmetric jaws are used to treat which type of cancer?

<p>Ca-Maxilla (B)</p> Signup and view all the answers

What is the required lead thickness to reduce 5% of 10MV photon?

<p>5cm (A)</p> Signup and view all the answers

What is the most commonly used Cerrobend block?

<p>5cm (D)</p> Signup and view all the answers

For 2D treatment planning of head and neck cancers, which field arrangement is most commonly used?

<p>Two parallel opposed (B)</p> Signup and view all the answers

Flashcards

Varian MLC

A tertiary collimator system used in linear accelerators to shape the radiation beam.

Shielding Block Distance

The position of a shielding block from the patient's skin surface is approximately 5 cm.

Elekta MLC movement

In Elekta MLC, leaves move in the X direction.

Custom Block Material

Lead Cerrobend is the most commonly used material for custom blocks.

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Lipowitz Metal Melting Point

The melting point of Lipowitz metal is 70°C.

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MLC Transmission Limit

The permissible limit of X-ray transmission through MLC should be less than 2%.

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Shielding Thickness Factor

The thickness of shielding depends on the energy of radiation.

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Asymmetric Jaws Usage

Asymmetric jaws are used to treat Ca-Cervix.

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Lead Thickness for 10MV Photons

The lead thickness required to reduce 10MV photons by 5% is 5cm.

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Cerrobend Thickness

The thickness of Cerrobend to reduce 5% of 10MV is 1.5cm.

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Study Notes

  • Variant MLC is an example of a tertiary collimator system.
  • The position of the shielding block from the patient's surface is usually 15cm.
  • In Elekta MLC leaves move in the x-direction.
  • Lead is the most commonly used material for custom blocks
  • The melting point of Lipowitz metal is 70°C.
  • The permissible limit of X-ray transmission through MLC should be less than 2%.
  • The thickness of the shielding material depends on the energy of radiation.
  • Asymmetric jaws are used to treat Ca-Cervix.
  • The required lead thickness to reduce 5% of 10MV photon is 5cm.
  • The thickest of the most commonly used Cerrobend block is 7.5cm.
  • The ideal treatment planning in Head & Neck cancer is IMRT.
  • Intraluminal RT is used in Ca-Esophagus.
  • BCT is applicable for early breast cancer.
  • Co-60 unit gives better results than IMRT/3D CRT in early glottic cancer.
  • Wedges are used in the treatment planning of all of these: larynx, brain, and maxilla.
  • The fields most commonly used for 2D treatment planning in the head & neck are AP/PA.
  • The immobilization device used for chest wall irradiation in Ca-breast is breast board.
  • The organs at risk in treatment planning of Ca-esophagus are lungs.
  • Surgery and RT give comparable results in early oral cavity cancer.

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