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22 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
The simulation process is the ____ step after _________ and _______________.
3rd, diagnosis, therapeutic decision
The simulation process can be ___________ or ___________.
Simple, complex
The simplicity or complexity of the simulation process depends on these three things
Type of cancer
extent of the tumor
proximity to normal surrounding tissue
what is the purpose of the simulator?
To assist the physician and members of the radiation therapy team in the treatment planning process
Conventional simulation is designed to simulate these three conditions, of the linear accelerator
Mechanical
geometrical
optical
Patient data is collected using CT images in what plane?
Transverse
What does the term DRR stand for
Digitally reconstructed radiographs
Doctor and dosimetrist can plan treatment without the patient being present using this
Virtual simulation
During this process side lasers and an overhead laser are used to triangulate three reference points on the patient
Conventional Simulation
For breast treatments leveling tattoos will be placed on the __________ and __________ of the affected breast
Sternum, lateral aspect
Biangulation
This setup is mostly used with breast treatments
Biangulation
sternum and lateral aspect
After the target volume has been determined the computer calculates the isocenter using these as reference points
Temporary markers
This is done after simulation is complete
Treatment planning
The geometric definition of the position and extent of the tumor or anatomic structures by reference of surface marks that can be used for treatment setup purposes.
Localization
A final check that each of the planned treatment beams does cover the tumor or target volume and does not irradiate critical normal structures
Verification
Refers to a material with high atomic number, used on the surface of the patient or appropriately placed in a body cavity.
Radiopaque marker
usually made of lead, copper, or solder wire
Involves the dimensions of a treatment field at the isocenter, which are represented by width x length
Field size
Indicates the gross palpable or visible tumor.
Gross Tumor Volume
Indicates the gross palpable or visible tumor ( GTV) and a surrounding volume of tissue that may contain subclinical or microscopic disease.
Clinical Target Volume (CTV)
Indicates the CTV plus margins for geometric uncertainties, such as patient motion, beam penumbra, and treatment setup differences
Planned Target volume (PTV)
Volume of tissue receiving a significant dose (e.g., >50%) of the specified target dose
Irradiated volume
The volume enclosed by the isodose surface selected as being appropriate to achieve the purpose of treatment (i.e., the volume enclosed by the prescription isodose surface).
Treated volume