Brain Teaser #10

A) Question:

Beam data information is usually measured in a phantom that contains/made up of what kind of material?

A) Answer:

H2O is usually the material a phantom is made up of or, in some cases the phantom is made up of a material that is water equivalent.


B) Question:

Why is H2O or a material equivalent to H2O used to acquire beam data?

B) Answer:

H2O or equivalent is used because it has the approximate radiation absorption and scattering properties as muscle or soft tissue.


C) Question:

What is the name for the region that is located between the surface and the maximum dose of a given energy?

C) Answer:

The region between the surface and maximum dose is called the build up region.

Follow Up:

The clinical name for this build up region is called the skin sparing effect.


D) Question:

If the field size increases and all other variables stay the same, what happens to the dose at the central axis?

D) Answer:

When field size increases and everything else remains the same, the dose at the central axis will increase.


E) Question:

When field size increases and all other variables remain the same, what happens to the monitor units?

E) Answer:

If the field size increases and everything else remains constant, then the monitor units will decrease.


F) Question:

If you compare a 15x15 to a 30x10, which field will have more dose at central axis (or will the dose be the same for both) if all other variables remain the constant?

F) Answer:

The 15x15 will have more dose at central axis then the 30x10. This is because the 15x15 will have more scatter contributing to central axis then 30x10.


G) Question:

What is the difference between tissue phantom ratio and tissue maximum ratio?

G) Answer:

A tissue phantom ratio is the ratio of dose at a given point in the phantom to the dose at the same point at a fixed reference depth. This reference depth can be any depth. Tissue maximum ratio is a special tissue phantom ratio where your reference depth is your maximum dose (d-max).

Follow Up:

In short, TPR is a reference depth that can be anything, where TMR is always d-max.


H) Question:

When comparing percent depth dose to tissue maximum ratio, what is the variable that percent depth dose is dependent of, and tissue maximum ratio is independent of?

H) Answer:

TPR is independent of distance where as PDD is dependent on distance.


I) Question:

As photon energy increases, what does the depth of d-max do?

I) Answer:

As photon energy increases depth of d-max also increases.


J) Question:

For a 15x photon beam, what is the approximate value for the depth of d-max?

J) Answer:

For a 15x photon beam, the approximate value for the depth of d-max is about 3.0 cm.

Follow Up:

Please keep in mind this value may change by 1 or 2 mm depending on what machine you are using, and the values that the physicist has measured at your clinic.


THE END

Author: Adam Buell
Editors: Mary Hare and Joan O'Brien
Date Created: September 2005