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Exam (elaborations)

RAD 400 FINAL QUESTIONS AND ANSWERS

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  • RAD400
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  • RAD400

RAD 400 FINAL QUESTIONS AND ANSWERS

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  • September 25, 2024
  • 63
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RAD400
  • RAD400
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71 Multiple choice questions

Term 1 of 71
if the patient was planned in prior times with a homogenous calculation algorithm, but there
was a fair amount of lung tissue to transverse, then how would their actual dose be considered
in more modern times which utilize heterogeneity in the algorithm

patient was over dosed

it increases the hotspot


wider, wider

it increases

Term 2 of 71
T/F: The block margin for electrons is often slightly larger than the block margin for photon
beams.

true


it decreases

3 cm


photons

Term 3 of 71
what is another term for segmentation

wider, wider

image fusion


image contouring

scaling

,Term 4 of 71
T/F: Electrons may be preferred for some instances because they do not penetrate deep and
can spare deeper normal structures

true

it decreases


it increases

wider, wider

Term 5 of 71
what is true concerning the benefits of a dynamic wedge over a physical wedge?

- inelastic
- elastic
- in the nucleus
- not in the nucleus


on the KV side because electrons repel each other

- the edge of the light field represents the 50% isodose line
- a field size of 4x4 cm is more difficult to measure than a 20x20
- a cobalt machine has wider penumbra compared to a linac beam


- less scatter on the patient w/a dynamic wedge
- less chance of error w/respect to the wedge direction
- physical wedges are less efficient due to their static size
-a wedge factor must be applied to the MU setting for both

Term 6 of 71
if a patient was planned in prior times with a homogenous calculation algorithm but there was
a fair amount of bone to transverse, then how would their actual dose be if considered in more
modern times which utilize heterogeneity in the algorithm

patient was over dosed

it would be located in the valley

the patient would be underdosed


wider, wider

,Term 7 of 71
what is the GTV

POI dose / RX


the gross tumor volume or actual tumor

2.5 cm

its a wedge that is 60 degrees but only places the wedg in the beam path half of the time

Term 8 of 71
Why is a 6x sometimes preferred to an 18x

- TomoTherapy doesn't utilize a flattening filter
- a 10 FFF beam has a lower energy than a 10x beam w/a flattening filter
- flattening filter free beams are very useful for high dose per fx

if the treatment depth is shallow, it might not buildup in enough time for an 18x and it
could miss the tumor

sources are concentrated more in the middle because the ends on a catheter are filtered


- the edge of the light field represents the 50% isodose line
- a field size of 4x4 cm is more difficult to measure than a 20x20
- a cobalt machine has wider penumbra compared to a linac beam

Term 9 of 71
What is the Dmax of a 10 mv beam

1.0 cm

2.5 cm

1.5 cm

3 cm

, Term 10 of 71
What is the Dmax for 4 mv beam

1.5 cm


2.5 cm

3 cm

1.0 cm

Term 11 of 71
Concerning penumbra, for electrons it is ___________________, which means the blocks must be
___________________ compared to photon blocks.

wider, wider

scaling

narrower, narrower


image contouring

Term 12 of 71
if you increase beam energy what happens to the peripheral midpoint ratio

it decreases

it stays the same


no effect

it increases

Term 13 of 71
what is another term for image registration

image fusion


fusion therapy

conversion

image registration

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