CMSA

Topic Sub-topic (covering all radiation therapy modalities) FC Rad Onc(SA) Part I, Paper 1 - Physics Questions 1 & 2 (50%) Podgorsak reference Knowledge units

Basic Radiation Physics

Classification of radiation Wave and quantum models of radioactivity Atomic and nuclear structure Radioactivity and decay Interactions with matter / processes, attenuation, scatter, Radiation quantities and units

1.1.5-7 Add. notes 1.2 1.2.6 1.2.7 1.2.9 1.3 1.4 Add. notes 1.1.9 and Ch 2 6.2 6.3

Classification of fundamental

Direct / indirect ionisation

Classification of ionizing Atomic number, atomic mass, Nuclear reactions, Relative predominance Doserate

Nucleus, orbital shells, energy Particles - proton, electron, Decay processes, half life Parent-daughter relationships, Absorption. LET 14.2 Elastic Photoelectric, Compton effects, Fluence, KERMA, dose, Absobed dose Mono- and hetero-energetic photon beams Photon beams Ion chambers Instruments, phantoms Goals Area survey meters Deterministic Physical quantities ALARA Committed dose Principles 5.7 Teletherapy equipment Medical exposure, prevention Radiation protection issues with Electron beams 8.1.8.2 Other methods Protocols, corrections Roles and duties Individual monitoring Stoachastic Equivalent (RBE) dose ICRP dose limits

Treatment Units Quality Assurance

Radiation Protection

Design/construction/field size definition / beam production Ch 5 13.1-2 Physical aspects of beams: Quantities, %DD, PSF, TMR, Ch 6 Measurement - Dosimeters Ch 3 Calibration - principles Ch 9 Acceptance tests and commissioning Ch 10 13.7-8 Routine QA 12..1 -2 12.4 13.9 Radiation monitoring instruments Ch 4 Radiation effects 16.2 Quantities and units. 16.5 Basic framework and standards 16.6 Dose estimation - MIRD Add. notes 16.5.2.4 Shielding 16.10 16.17-19 Safety of operation 16.11 16.11.2 Types of exposure 16.4 16.13-15 Dose minimization practices and procedures. Time, Ditance, Add. notes

Protons, neutrons, heavy ions Beam quality specifications Linac QA - on embryo and foetus Effective dose Regulations and national

Occupational exposure

Public exposure

Topic Imaging

Patient Positioning Treatment Planning

Sub-topic (covering all radiation therapy modalities) Diagnostic imaging Modalities available for treatment planning Simulation equipment Image fusion / registration Immobilization / positioning In-room imaging and dose measurements Target volume & OAR delineation. Dose specification and reporting (ICRU) Patient data acquisition Beam modifiers Beam corrections Beam combinations 3D Conformal RT, Dynamic MLC, IMRT, VMAT, QA Plan evaluation Electron beams Manual dose calculation Computerized treatment planning systems

Questions 3 & 4 (50%) Podgorsak reference Add. notes Add. notes, 15.11 5.9 Add. notes, 15.11 7.4 7.2 7.3, 8.3.1 7.4.1 & 2 7.5.2 7.5.3 7.5.4 7.5.5 7.5.6 7.5.7 15.7 7.6 8.3 7.7 Ch 11. 12.4 7.6.5 Priniciples of image production CT, US Simulators Merging systems Immobilisation devices / CBCT, Portal imaging ICRU 50 & 62 Photons Need for patient data Wedges Surface, obliquuity Matching Defs. and goals vs traditional Isodoses Principles SSD setup Hardware Commisioning and QA Patient charts R&V systems 11.3.6 Stereotactic radiosurgery, radiosurgery (SRS) Conformal radiotherapy, IMRT DICOM 11.4.3

Knowledge units Routine imaging principles MRI. CT-Sims Evalaution tools Positioning devices / methods Position verification GTV / CTV / PTV / ITV Electrons Nature of patient data Bolus Heterogeneities Adjoining fields Prescription, Dose constraints DVH Dose statistics SAD setup Algorithms Portal imaging 7.6.5 Total Body Irradiation (TBI), (TBI) VMAT Networking Processors SPECT, PET, PET-CT

Simulation Margins Other Compensators Co-planar beams Inverse planning and Special dosimetry problems Clinical considerations Data acquisition In-vivo dosimetry Intraoperative radiotherapy IGRT, ART, Gated RT PACS

Treatment delivery QA Special topics Techniques and equipment. equipment Anthropomorphic Informatics Core knowledge: 80-85% Extra: 15-20%

Ch 15. 15 Add. notes