Extra Credit Calculation Problems 1. A wedge transmission factor is 0.75.

The monitor unit setting is _____ times that calculated for the open beam. a. 0.25 b. 0.75 c. 1.33 d. 1.75 e. 2.33 A photon field is calculated for treatment at 100cm SSD. Due to an error in the ODI (optical distance indicator) the treatment is delivered at 98.8cm SSD. The dose received by the patient at dmax is _____. a. 3.6% low b. 2.4% low c. 1.2% low d. 1.2% high e. 2.4% high The output for an electron cone is 1.02 cGy/MU. The MU required to deliver 200 cGy to the 95% isodose level is _____ MU. a. 196 b. 206 c. 218 d. 222 e. 235 The attenuation of a photon beam is 4% per cm. If the dose at point P is 100 cGy, the dose at point Q (ignoring off-center ratios and scatter differences) is: (hint: there are two factors needed i.e. 100 cGy x __ x __ = answer) a. b. c. d. e. 92 cGy 96 cGy 100 cGy 104 cGy 108 cGy

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A patient was treated to the thoracic spine using the cobalt technique outlined below. It is now necessary to treat the lumbar spine using a 6 MV x-ray beam. If the depth of the cord in the region of the junction is 6cm, calculate the total gap that must be left on the skin surface to abut the fields at the cord. Cobalt-60 technique 6MV x-ray technique SSD: 80cm SSD: 100cm F.S. @ 80cm: 30 x 6 F.S. @ 100cm: 20 x 20 (L x W) (L x W) a. b. c. d. e. 1.5cm 1.6cm 1.7cm 2.0cm 3.5cm

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The dose rate in air for a cobalt-60 source is 100 cGy/min at 80cm SAD. The dose rate in air for the same collimator setting at 200cm is: a. 16 cGy/min b. 40 cGy/min c. 50 cGy/min d. 250 cGy/min e. cannot be calculated without additional information A superficial x-ray unit has an SSD of 20cm to the end of the applicator. If an additional air gap of 2cm is left, and no correction is made, this would cause the dose at dmax to be: a. 22% high b. 9% high c. 9% low d. 17% low e. 25% low If 150 cGy is delivered at a depth of 7cm at 100 cm SSD, using a field for which the PDD is 65%, the dose from that field at dmax is _____ cGy. a. 65 b. 130 c. 195 d. 215 e. 231

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From the data below, calculate the MU setting for the lateral fields of the three field plan shown. Wedge factor = 0.58 TMR = 0.782 Output = 0.90 cGy/MU 180 cGy/fraction at isocenter Beams are weighted to deliver equal doses at the isocenter a. b. c. d. e. 49 MU 85 MU 120 MU 147 MU 162 MU

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In treatment of the craniospinal axis, the upper spine field length is 25cm at 100cm SSD. To align with this diverging spine field, the lateral brain fields should have a collimator rotation of: [data: tan 25= 0.47; tan 14= 0.25; tan 7= 0.125; tan 2.5= 0.044] a. b. c. d. e. 25 14 7 2.5 none of the above