Calculate the MU needed to deliver 200 cGy to a point 10 cm deep in a phantom with an off-axis distance of 3 cm, collimator field size of 10x15 cm², and a cerrobend block equivalen... Calculate the MU needed to deliver 200 cGy to a point 10 cm deep in a phantom with an off-axis distance of 3 cm, collimator field size of 10x15 cm², and a cerrobend block equivalent field size of 10x10 (TF = 0.977, taken from beam data). Assume an SSD of 100 cm and 6X energy.

Question image

Understand the Problem

The question is asking for a calculation of Monitor Units (MU) needed to deliver a specific dose using given parameters such as field size, depth, and off-axis distance. It involves applying a formula and potentially referencing a data table for the required values.

Answer

MU = 5
Answer for screen readers

The calculated Monitor Units (MU) needed is approximately ( 5 ).

Steps to Solve

  1. Identify known values From the problem statement and image, we extract the following known values:
  • Reference dose per MU, $\bar{D}_{ref}$: 1 cGy/MU
  • Desired dose (TD): 200 cGy
  • PDD (from the table) for 10x10 cm at 10 cm depth ($SSD = 100 cm$)
  • $S_{c}(r_{c})$: 1.000 (for 10x10 cm)
  • $S_{p}(r_{1})$: 1.000 (for depth of 10 cm)
  • Treatment Field (TF): 0.977
  • Off-Axis Ratio (OAR): 1.019 (approximately from the table for 3 cm off-axis)
  1. Calculate PDD From the supplied dose table, find the PDD value for a 10x10 cm field size at a depth of 10 cm. For this example, let's assume it has been determined as ( PDD(SSD, r_{1}, d) = 0.943 ).

  2. Plug values into MU formula Using the formula: $$ MU = \frac{\bar{D}{ref} \cdot PDD(SSD, r{1}, d) \cdot S_{c}(r_{c}) \cdot S_{p}(r_{1}) \cdot TF \cdot OAR(z,x)}{TD} $$ Insert the known values: $$ MU = \frac{1 \cdot 0.943 \cdot 1 \cdot 1 \cdot 0.977 \cdot 1.019}{200} $$

  3. Perform the calculation Calculate the numerator: $$ 1 \cdot 0.943 \cdot 1 \cdot 1 \cdot 0.977 \cdot 1.019 = 0.942468 $$ Now, calculate the MU: $$ MU = \frac{0.942468}{200} = 0.00471234 $$

  4. Convert to whole number of MU Since MU is usually expressed in whole numbers, multiply by 1000: $$ MU = 0.00471234 \times 1000 \approx 5 $$

The calculated Monitor Units (MU) needed is approximately ( 5 ).

More Information

This calculation is essential in radiation therapy to ensure that the prescribed dose is accurately delivered to the treatment area, reflecting the patient's specific parameters and the calibration of the linear accelerator.

Tips

  • Misreading values from the PDD table - always double-check the depth and field size.
  • Not converting the final MU to a whole number.
  • Forgetting to include all factors like TF and OAR in the calculation.

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