180cGy is prescribed to a depth of 12cm at a point 5cm off the central axis. Compute the required monitor units for a 6MV beam delivered 105SSD with a field size of 12x12cm². Here... 180cGy is prescribed to a depth of 12cm at a point 5cm off the central axis. Compute the required monitor units for a 6MV beam delivered 105SSD with a field size of 12x12cm². Here %DD = 75.3, Sc = 1.008, Sp = 1.009, TMR = 0.82, and OAF = 1.023.

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Understand the Problem

The question is asking for the calculation of required monitor units for a prescribed dose of radiation, given specific parameters related to a radiation beam. It involves applying formulas related to radiation therapy to derive the answer.

Answer

The required monitor units (MU) is approximately $189$.
Answer for screen readers

The required monitor units (MU) is calculated as follows:

  1. Output Factor (OF):

$$ OF = 1.008 \times 1.009 \times 1.023 \approx 1.0402 $$

  1. Dose at reference point ( D_{ref} ):

$$ D_{ref} = 180 \times \left(\frac{100}{75.3}\right) \times 0.82 \approx 180 \times 1.327 \times 0.82 \approx 180 \times 1.0874 \approx 195.7 , \text{cGy} $$

  1. Monitor Units (MU):

$$ MU = \frac{195.7 , \text{cGy}}{1.0402} \approx 188.5 $$

So, the required monitor units is approximately 189 (rounding to nearest whole number).

Steps to Solve

  1. Calculate the dose required at the reference point The prescribed dose is 180 cGy, which we need to deliver at a depth of 12 cm.

  2. Calculate the output factor (OF) based on the parameters Using the given data, compute the overall output factor (OF) as follows:

$$ OF = Sc \times Sp \times OAF $$

Substituting the values:

$$ OF = 1.008 \times 1.009 \times 1.023 $$

  1. Find the dose at the reference point using %DD and TMR To find the dose where the prescription was made, we adjust:

$$ D_{ref} = \text{prescribed dose} \times \left(\frac{100}{%DD}\right) \times TMR $$

Substituting the values:

$$ D_{ref} = 180 , \text{cGy} \times \left(\frac{100}{75.3}\right) \times 0.82 $$

  1. Calculate the required monitor units (MU) To find the monitor units, use the formula:

$$ MU = \frac{D_{ref}}{OF} $$

  1. Substituting values to find the monitor units Using the computed value of ( D_{ref} ) from step 3 and the ( OF ) from step 2, calculate the final required monitor units.

The required monitor units (MU) is calculated as follows:

  1. Output Factor (OF):

$$ OF = 1.008 \times 1.009 \times 1.023 \approx 1.0402 $$

  1. Dose at reference point ( D_{ref} ):

$$ D_{ref} = 180 \times \left(\frac{100}{75.3}\right) \times 0.82 \approx 180 \times 1.327 \times 0.82 \approx 180 \times 1.0874 \approx 195.7 , \text{cGy} $$

  1. Monitor Units (MU):

$$ MU = \frac{195.7 , \text{cGy}}{1.0402} \approx 188.5 $$

So, the required monitor units is approximately 189 (rounding to nearest whole number).

More Information

In radiation therapy, monitor units are a measure of the amount of radiation to be delivered to a target. Calculating these correctly ensures that patients receive the prescribed doses effectively while minimizing exposure to surrounding tissues.

Tips

  • Miscalculating the output factor (OF) by not multiplying all components together.
  • Failing to correctly apply the %DD and TMR in the determination of ( D_{ref} ).
  • Not rounding the final answer properly for practical applications in treatment planning.

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