Radiation Therapy Treatment Planning

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18 Questions

What is the primary aim of treatment planning?

To deliver uniform dose to the target volume and minimize dose to surrounding tissues

What is the Gross Tumor Volume (GTV)?

The gross palpable, visible, and demonstrable extent and location of malignant growth

What is the Clinical Target Volume (CTV)?

The tissue volume that contains the GTV and subclinical microscopic disease

What is the Planning Target Volume (PTV)?

The CTV and includes margins for geometric or position uncertainties

What is the primary purpose of the Planning Target Volume (PTV)?

To allow for limitations in treatment technique

What is the Treated Volume?

The volume of tissue enclosed by an isodose surface, selected and specified by the radiation oncologists

What is the primary purpose of a conventional simulator in radiotherapy?

To localize the target volume and normal tissue

What is the purpose of the graduated scale or grid in the head of the conventional simulator gantry?

To broadcast an image of two perpendicularly crossed axes onto the patient's skin

What is the process of defining the treatment target and outlining organs in radiotherapy?

Target definition and outlining

What is the role of the X-axis in the XYZ coordinate system used for isocenter localization?

Extending right to left in the patient

What is the primary difference between a conventional simulator and a CT simulator in radiotherapy?

The use of virtual simulation

What is the purpose of radiographs taken during conventional simulation?

To document the gantry angles, field sizes, collimator angles, and table angles

What is the purpose of digitally reconstructed radiographs in the treatment planning process?

To visualize internal structures for tumor localization

Why is it important to position the patient in a reproducible manner during simulation?

To ensure accurate alignment of the radiation fields

What is the purpose of immobilization devices in simulation?

To maintain patient position during simulation

What is the primary function of field lights in patient alignment?

To align the radiation fields on the patient

What is the purpose of the protractor or gantry angle indicator?

To indicate the gantry angle during treatment

What is the role of lasers in patient alignment?

To provide a visual cue for patient positioning

Learn about the principles of radiation therapy treatment planning, including 3D rendering of patient outlines, target volume delineation, and minimizing dose to surrounding tissues. Understand the ICRU Reports 50/62 recommendations for target margins and more.

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