Teletherapy 01
Teletherapy 01
Teletherapy 01
Alan McWilliam
SAD
Isocentre
d,depth
X-rays
electrons
C0-60 5
4MV 10
6MV 16
8MV 20
18/20MV 30
120
100
dmax 80
PDD (%)
60
Depth A 40
20
0
0 10 20 30
Depth (cm)
80
60
40
20 dmax
At depth
0
-15 -10 -5 0 5 10 15
Position (m m )
The Christie NHS
NHS Foundation Trust
4. Treatment Planning Glossary (2)
1. X-ray beam physics - introduction
2. Electron beam physics - introduction
3. Treatment planning glossary(1)
4. Treatment planning glossary(2)
5. PDD variation
6. Surface dose
7. Hand calculation data
8. Output factors
9. Heterogeneity corrections
Outer Jaw 60
40
20 dmax
At depth
0
-15 -10 -5 0 5 10 15
Position (mm)
Phantom
Scattered electrons
The Christie NHS
NHS Foundation Trust
5. PDD Variation
1. X-ray beam physics - introduction
2. Electron beam physics - introduction
3. Treatment planning glossary(1)
4. Treatment planning glossary(2)
5. PDD variation
6. Surface dose
7. Hand calculation data
8. Output factors
9. Heterogeneity corrections
100.0
90.0 4MV (FS = 10cm)
80.0 6MV (FS = 10cm)
70.0
8MV (FS = 10cm)
PDD (% )
60.0
20MV (FS = 10cm)
50.0
40.0
30.0
20.0
10.0
0.0
0 10 20 30 40
Depth (cm)
120.0
100.0 100
80.0 160
PDD (%)
60.0 60
40.0
20.0
0.0
0 5 10 15 20 25 30 35
Depth (mm)
The Christie NHS
NHS Foundation Trust
Inverse Square
SSD d max
2
INVSQ factor
SSD d
4.5
4
3.5
3
Dose
2.5
2
1.5
1
0.5
0
0 50 100 150
Distance
The Christie NHS
NHS Foundation Trust
4MV PDD variation with field size
120
80 20.0 40.0
PDD (% )
60
40
20
0
0 5 10 15 20 25 30 35
Depth (cm)
The Christie NHS
NHS Foundation Trust
PDD 10cm deep variation with field size
PDD at 10 cm deep
1.200
1.150
1.100
1.050
PDD(%)
1.000
0.950
0.900
0.850
0.800
0.0 10.0 20.0 30.0 40.0 50.0 60.0
Field Size (cm)
20 MV
1
8 MV
0.9 6 MV
4 MV
0.8
0.0 10.0 20.0 30.0
field size (cm)
The Christie NHS
NHS Foundation Trust
Field Shape Dependence:
Equivalent Square
a
c
2 a b
c
c ab
b
Water 1.0
d1 x re(1) Muscle ~1.1
Lung ~0.3
dt
d2 x re(2) Air Cavities ~0.1
Bone ~1.2-1.5
d3 x re(3)
dwe = S di x re(i)