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Practice Problems Week 2

1. If the cGy/mu is 1.000 at 100 cm SSD (dmax = 1.5cm), what is the cGy/mu at 200cm SSD?

2. What is the incident dose if a 20 x 20 cm 60Co beam with an SSD of 80cm, delivering 200cGy to a depth of 10.5cm (%DD = 59%)? 3. If the output for a 35 x 35 cm 6MV beam at 100 SSD is 1.036 cGy/mu, what is the output at a 10 cm depth (DD = .722)? 4. If the field size factor for a given cone is 1.02 cGy/mu, what is the mu setting to deliver 250 cGy to the 90% treatment depth (assume Ccal = 1.000cGy/mu)? 5. The effective TAR for a blocked field set-up isocentrically at 80 cm SAD for a 60 Co beam unit is 0.565. The dose rate in air at the axis for the collimator setting used is 125.6 cGy/min. The blocking tray factor is 0.98. The timer setting to deliver 180 cGy to the isocenter is ________? (Normally you would need an area factor if there was a field size factor needed but for this problem you dont need one). a. 0.83 b. 2.54 c. 2.59 d. 3.86 e. 3.92 6. For an isocentric treatment with 6MV x-ray beam, the mu setting for a tumor dose of 180 cGy at 10 cm depth with a 15 x 15 cm field is (TMR = .803, RFF = 1.028, IF = 1.03, TF = .98): (RFF is reference field size factor same as Sc and Sp or area factor just different terminology; IF = iso factor or SAD factor again different terminology). a. 248 b. 226 c. 216 d. 200 e. 196 7. For an SSD treatment with 4MV x-ray beam, the mu setting for a tumor dose of 200 cGy at 5 cm depth with a 10 x 10 field is (%DD = 83.5%, RFF = 1.000): a. 250 b. 240 c. 230 d. 220 e. 210

8. The dose rate at the patients midplane is found to be 250 cGy/min at 100 cm SAD. A protocol requires that the dose rate be no more than 100cGy/min. Therefore, the patient must be treated at ________ cm SAD. (SAD can be different with different manufacturers or different machines. You can also change the SAD for specialty treatments such as TBI or TSI. This would be a situation where you would need to change SAD distances) 9. A patients treatment time is calculated for 80 cm SSD, for a dose to dmax on a 60 Co unit of 100 cGy. The ODI is faulty and the patient is actually set-up at 78 cm SSD. What is the actual dose at dmax? 10. 6MV 2500 Linear Accelerator. Calculate the number of mus to deliver 180cGy to a depth of 10 cm for a 10 x 10 cm field at 100 cm SSD (%DD = 67.4%, Sp = 1.000, Sc = 1.000, dmax = 1.6cm 1cGy/mu, SAD factor = 1.000): (Why the SAD factor? Its a trick. Only use what you need. You need to get familiar with seeing a problem like this and knowing what to use for problem solving.) 11. 100 SAD treatment. 180 cGy to depth of 10 cm. Dmax = 1.6cm. Sc = 1.000, Sp = 1.003. TMR = .789 @10cm. Machine calibrated at dmax (use 101.6). Calculate the SAD factor = (101.6/ ?)2 = Calculate the MU setting = 12. Calculate the number of MU to deliver 200 cGy of 9 MeV electrons to dmax (2.0cm) for a 15 x 15 cone at 110 cm SSD. 1cGy/mu. %DD = 100%. 15 x 15 output = .935. Use effective SSD of 88cm. Calculate the gap factor = Calculate the MU setting = 13. The TMR for a 10 x 10 cm 4MV photon field at 100 cm SAD is .730 at 10 cm depth. If the SSD were changed from 90 cm to 95 cm, the expected change in the TMR would be: a. Increase of 5% b. Increase of 7.5% c. Decrease of 5% d. Decrease of 7.5% e. Zero 14. The %DD for 15 x 15 field size, 10 cm depth, 80 cm SSD is 58.4% (60Co). Find the %DD for the same field size and depth for 100 cm SSD.

15. If the dose rate in free space at a distance of 80.5 cm is 122.2 cGy/min, what would be the dose rate in free space at 100.5 cm? a. 190.5 cGy/min b. 152.6 cGy/min c. 78.4 cGy/min d. 97.9 cGy/min