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108 Cards in this Set

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  • Back

What is the rest mass of an electron?

0.51 MeV
Is an alpha particle charged? If so, what charge does it carry?
Yes, +2
Is a positron charged? If so, what charge does it carry?
Yes, +1
Is a neutron charged? If so, what charge does it carry?
No
Is neutrino charged? If so, what charge does it carry?
No
Assuming equivalent energy, place the following particles in order of increasing LET:

Neutrons
Alpha particles
Electrons
Electron
What is the rest mass of a proton?
930 MeV (~1 amu)
What is the rest mass of a neutron?
930 MeV
Which of the following particles are directly ionizing?

Protons
Neutrons
Positrons
Alpha particles
Beta rays
All are directly ionizing with the exception of neutrons, which are not charged.
131Iodine and 125Iodine:

A. Have different chemical properties.
B. Have different Z values.
C. Occupy different columns on the periodic table.
D. Have the same number of neutrons.
E. None of the above.
E. I-131 and I-125 are isotopes i.e. they have the same Z value. Their chemical properties are thus the same. They do NOT, however, have the same number of neutrons.
If a radionuclide decays by beta minus emission or positron emission, the resultant daughter nuclei will be iso_______.
Isobars
In Co-60, the number 60 represents what?
The number of nucleons i.e. the MASS number (A).

NB: For Co-60, Z=27
In standard notation, what does Z represent?
Number of protons in an atom. The ATOMIC number

NB: A is the mass number
1 MeV = ________ eV
10^6 eV

Ex: 930 MeV (mass of a proton) is approximately 1000 MeV or 10^9 eV (1000 x 10^6)
Avogadro's Number

What does it represent? What is the constant?
Number of atoms of a substance in a mole.

6.02 x 10^23 mol^-1
Equation relating half-life and decay constant
Where T1/2 is half life and lambda is decay constant.
Half life of Ir-192
74 days
What is the mean life of a radioisotope? (definition)
The amount of time the radioisotope would take to decay if the initial activity were constant

Mean life = 1.44 (half life)

NB: Denoted by tau
Alpha Decay: What are the products? How do the atomic and mass numbers change?
The only products are a daughter nuclide and a helium.

A-4
Z-2

NB: For any given radioisotope, the energy of the emitted alpha particle is always the same.
Internal conversion
A way of stabilizing an excited nucleus. Excess energy is transferred directly from the nucleus to an electron, which is ejected. The resultant vacancy is then filled by a cascade, which may result in characteristic x-rays and/or Auger electrons.
Beta-minus decay
Occurs in proton-poor nuclei. A neutron is converted into a proton, electron and antineutrino.

A remains the same, Z increases by one (Z + 1)
Beta-plus decay (positron decay)
Occurs in proton-rich nuclei. A proton is converted to a neutron, positron and neutrino.

A remains the same, Z decreases by one (Z-1)
Electron capture
More likely to occur in proton-rich, heavy nuclei. The unstable nucleus grabs an inner shell electron, which combines with a proton to become a neutron. A neutrino is kicked out.

A remains the same, Z decreases by one (Z - 1)
Define: Radioactive Equilibrium
When the radiation of the activity of a daughter nuclide to the activity of its parent approaches a constant value
Secular Equilibrium
Occurs when the half-life of a daughter nuclide is much shorter than the half-life of the parent. The activity of the daughter and parent are roughly equal.

Td<
Ex: Sr-90 (half-life 28 yrs) decays into Y-90 (half-life 64 hours)
Transient Equilibrium
Occurs when the half-life of a daughter nuclide is somewhat shorter than the half-life of its parent

Td~
Ex: Mo-99 (half-life 66.7 hours) decays to Tc-99m (half-life 6.03 hrs)
Name four ways of creating radioisotopes
1) Naturally occurring
2) Byproduct of nuclear fission
3) Produced in a reactor via neutron bombardment
4) Exposed to a charged particle beam in an accelerator
Which radioisotopes are created via nuclear fission?
Cs-137, I-131, Sr-90
Which radioisotopes are created via neutron bombardment?
Co-60, I-125, Ir-192, Pd-103
What is the SI unit of activity?
Becquerel = 1 decay/sec
Curie
1 Ci = 3.7 x 10^10 Bq

Old unit of activity (NOT SI)

NB: 1 mCi = 37 MBq
What is the equation for calculating activity over a period of time, t?
where Ao is the activity at time 0, t is time elapsed and lambda is the decay constant.
How would you calculate activity if you know the number of half-lives that have elapsed?
where Ao is the activity at time 0 and n is the number of elapsed half-lives.
Use factor: Definition and representative values
The fraction of time that the beam is pointed at a given barrier

Secondary barrier: 1 (leakage and scatter)
Floor=0.31
Wall=0.21
Ceiling=0.26
Occupancy factor: Definition
The fraction of a treatment day during which the area is occupied
Occupancy (T): Representative values
T=1 (full occupancy): Work areas, nurses' station, clinic, console
T=/15 (Partial occupancy): Hallways, staff restroom, employee lounge
T=1/20 (Occasional occupancy): Public restrooms, lobby, storage areas
T=1/40 (Transient occupancy): Stairways, elevators
Workload: Definition
The number of patients treated per WEEK* the dose equivalent delivered per patient at a distance of 1 m
Per regulations, how much leakage is allowed from the head of a linac?
No more than 0.1% of the useful dose rate at 1 m
For safety purposes and shielding, where are radiation levels calculated or measured?
1 foot beyond the outside surface of a shielded wall
Barrier transmission factor (B): Definition
The multiplicative factor by which the radiation level must be reduced so that it matches the design limit (P)
With regard to room shielding, how do you solve for the required barrier transmission factor (Bp) for a primary barrier?
where P is the allowable weekly dose in Sievert, W is workload, T is occupancy, U is use factor and d is the distance from the source to the protection point (in METERS)

This is only for the primary barrier.
With regard to room shielding, how do you solve for the leakage barrier transmission factor (BL) for a secondary barrier?
where P is the allowable weekly dose in Sievert, dL is the distance from the isocenter to the protection point, W is workload and T is occupancy.

W is multiplied by 0.001 to reflect the fact that regulations allow 0.1% of the useful dose via leakage.
1 Sv = ______ rem
100 rem
What is a radiation weighting factor? What's it used for?
Used in calculating equivalent dose for various particles.
What is the radiation weighting factor (Wr) for x-rays? Electrons? Neutrons? Alpha particles?
Xrays and electrons: Wr=1
Neutrons: Wr=20 (dpdt on energy)
Alpha particles: Wr=20
What is a deterministic effect? Examples?
Effects that increase in severity with increasing dose above a given threshold

Ex: Skin erythema, hair loss, cataracts, fibrosis
What is a stochastic effect? Examples?
The probability of the effect increases with dose; however, the severity of the effect does not. All or nothing.

Ex: Carcinogenesis, genetic effects
A medical event occurs. What sort of documentation is required?
1) Notify the NRC within 24 hours by phone
2) Submit a written report within 15 days
3) Notify the patient and the referring physician within 24 hours
What constitutes an NRC medical event?
1) Total dose differs by 20% or more
2) A single dose within a fractionated regimen differs by 50% or more
3) Wrong patient
4) Wrong mode of treatment
5) Leaking sealed source
6) Dose to the wrong site that exceeds 500 mSV and 50% of the prescribed dose
LD50 for humans
4 Gy to the whole body (without medical intervention)
Effective dose for a CXR? CT?

(in mSv)
Chest x-ray: 0.1 mSv
CT: 10 mSv
What is the average annual effective dose to the public? Daily dose? How much is natural?
6.2 mSv/year
0.017 mSv/day
About half is due to medical procedures and half is naturally occurring.
Define: Effective dose
The dose received, taking into account the radiation sensitivities of various organs and tissues

He = Ht x Wt where Ht is the mean equivalent dose and Wt is the tissue weighting factor
Define: Equivalent dose
The dose absorbed, taking into account the type and energy of the radiation

Ht = Dt x Wr where Dt is the average absorbed dose in a tissue and Wr is the radiation weighting factor

Ex: Wr for neutrons is 20
What is the excess lifetime risk of developing a fatal cancer due to a given dose of radiation?
The risk is 4 in 100 per Sievert i.e. 4x10^-2 per Sv effective dose

Ex: A chest xray delivers 10 mrad to the lungs only. Equivalent dose = 10 mrad * 1 (weighting factor of xrays) = 10 mrem
Effective dose = (10 mrem)(1 rem/1000 mrem)(1 Sv/100 rem)(0.12) = 1.2 x 10^-5 Sv
(1.2 x 10^-5 Sv)(4x10^-2 risk/Sv) = 5x10^-7
What units are associated with an exposure rate constant?
What is the equation relating exposure and charge?
X = Q/m

where X is exposure, Q is the charge collected and m is the mass of the air in the sample volume
At what energy do free air ionization chambers become impractical?
Above 3 MeV. The plate separation and chamber size required to maintain equilibrium is too big to be practical.
For each of the following devices, is it an absolute or relative dosimeter?

Free air ionization chamber
Calorimeter
Free air ionization chamber: Absolute (exposure)
Calorimeter: Absolute (dose)
What is standard temperature and pressure?
22 C (295 K) and 760 mm-Hg
How do you convert Celsius to Kelvin?
Add 273
How do you calculate a temperature and pressure correction factor?
where STP are 295 K and 760 mm-Hg. T is in Celsius.
Geiger-Muller Counters: What can they detect? On what principle are they based? What are they good for?
GM counters work on the principle of gas amplification, making them very sensitive. They can detect a single charged particle but canNOT discriminate energy. GM counters do have refractory period, or "resolving time," which can cause spuriously low counts in a high radiation field. They are best used for locating lost sources or detecting radioactive contamination.
What are the advantages of TLDs as an in vivo dosimeter?
Small
No wires
Reusable
Can be used over a wide dose range (less than a cGy up to 10 Gy?)
Near tissue equivalence (if using LiF)
Nearly linear relationship between dose and response up to ~3-4 Gy
What are the disadvantages of a TLD?
Delayed reading, can only be read once (so write it down!)
What is the formula for optical density?
Diodes: Benefits? What can they be used for?
Advantages: Very sensitive, rugged, reliable, real-time readout
Uses: Daily machine output constancy, pt dosimetry

NB: canNOT be used for beam calibration
MOSFETs: Advantages? Uses?
Advantages: Small, lightweight, reusable
Disadvantages: Shorter lifetime than a diode
Uses: Patient dosimetry
Film Dosimetry: Benefits? Disadvantages?
Advantages: High spatial resolution, creates a permanent record, widely available, relatively cheap
Disadvantages: Has to be developed, not tissue equivalent, energy dependent, sensitive to light
Define: Electron stopping power
Energy lost per unit path length in the medium (dependent on density)

Units = MeV/cm
Define: Mass Stopping Power (electrons)
Energy loss per unit path length in the medium divided by density i.e. stopping power divided by density

Units = MeVcm2/g
How are electrons beams defined?
R50 i.e. the depth (cm) at which the dose is 50% of the maximum
How do you calculate the electron energy at a given depth?
Ez = Eo[1-(z/Rp)]

where Ez is the energy at depth z, Eo is the incident electron energy and Rp is the practical range of the given electron energy (~energy/2)
Rule of thumb for blocking electrons with Pb
The minimum thickness (in mm)= incident energy/2
A photon and electron field abut. Describe the distribution of hot and cold spots.
Hot spot in the photon field due to greater scattering of the electrons.
Cold spot in the electron field
What is the minimum ICRU-recommended field size for an electron field?
An electron field cutout should be at least as large as the electrons' practical range to achieve lateral scatter equilibrium

i.e. Minimum field size > Rp = E/2
How do photon and proton dose distributions differ?
Photons: Superior skin sparing, more forgiving of changes in target position and inhomogeneity
Protons: Generally lower integral dose (no exit dose), smaller lateral penumbra, fewer beams usually used, can use "patch fields" given the lack of exit dose
What is the typical maximum range of a proton therapy beam?
30 cm (corresponding to an energy of 23-240 MeV)
What is the typical maximum energy of a therapeutic proton beam?
~250 MeV
In PET, what is actually detected to produce the image?
511 keV (0.511 MeV) photons

- These are created via an annihilation reaction between a position and electron.
Per NRC CFR Part 20 and 10 CFR Part 35, how often does a radiation shielding survey of adjacent areas need to be conducted for an I-192 source?
Whenever the source is changed in the HDR unit.
Exposure
- Measure of the ability of photon radiation to ionize air
- DEFINED ONLY FOR AIR AND PHOTONS
- Units: R or C/kg (SI)
- Only practical under 3 MeV (due to the limitations of ionization chambers)
Roentgen
- Unit of exposure
- NOT SI
- Equals 2.58 x 10^-4 C/kg
Equation for Exposure
X=Q/m


where X is exposure, Q is the electrical charge produced in air, and m is mass in kg
A photon beam has an energy of 6 MV. What does this mean? What is the maximum and average energy produced?
A 6x beam is produced using a stream of 6 MeV electrons. The maximum photon energy produced is thus 6 MV with an average energy of 2 MV (~energy/3).
What is a typical dose rate for an EBRT treatment?
200-600 MU/minute

Higher for SBRT and SRS
What roles do a linac monitor ion chamber serve?
1) Provide feedback to maintain a constant dose rate
2) Track the total or integrated dose i.e. total MU delivered
3) Monitor beam flatness and symmetry
Where is the collimator-produced field size defined? i.e. where is it measured?
At SAD (usually 100 cm)
How much radiation is transmitted through the movable jaws of the collimator?
<=0.5%
Half-life of Co-60
5.26 years
How does Co-60 decay?
Beta-minus
For Co-60 units, how often should the timer error be measured?
Monthly (NRC regulation)
A collimator is set to a field size of 20x20 cm. How large is the field at a depth of 30 cm?
Collimator field size is defined at isocenter (100 cm)

fr = f x r/SAD
fr = 20 x (30 cm/100 cm) = 6 cm
You are given a beam profile. How is the field size defined?
The field size is defined as the distance between the 50% intensity points. In the example below, the ion chamber is at 110 cm (not isocenter), so the field size needs to account for this.

Beam profile field size = Isocenter field size(r/SAD)
22 cm = f(110 cm/100 cm)
f = 20 cm
Over what portion of a beam profile is flatness assessed?
Inner 80%

NB: It would be unrealistic to expect the beam edges to be completely flat.
Equation for beam flatness
NB: This is ONE definition of many. Tolerance is generally +/-3%
Name three sources of penumbra
1) Non-point source (ex: Co-60)
2) Transmission penumbra: collimator jaws or blocks
3) Scattered photons and secondary electrons
Define: physical penumbra
- The measured penumbra, incorporating all possible causes, including geometric, transmission and scatter
- Commonly defined as the lateral distance between the 80% and 20% intensity levels in a beam profile measured at a depth of 10 cm using a 10x10 cm2 field
How does field size affect scatter?
- Direct relationship
- As field size increases, more matter is irradiated --> increased scatter
Dmax of Co-60
0.5 cm
Dmax of a 10x beam
2.5 cm
Dmax of a 15 MV beam
3 cm
Dmax of a 6x beam
1.5 cm
Dmax of an 18 MV beam
3.3 cm
How does depth dose change with beam energy?
With increasing beam energy:
1) Deeper dmax
2) Greater skin sparing
3) Higher PDD for a given depth when d>dmax
4) Usually LOWER PDD for a given depth when d
Define: Mayneord f factor
- Factor used to convert between two PDDs with different SSDs
- F is >1 when the second SSD is larger than the first (bc PDD increases with SSD)
- In the equation below, dm is dmax.
Formula: Equivalent Circle
Set the area of a circle and square equivalent to each other -->

Radius = Equivalent square/sqrt(pi)
Draw a diagram of a TAR set-up.