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Document about Radiotherapy
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Chapter XIII
PDDTARTMR
Dose Free Space
Ver 2.11
Joseph F. Buono RTTAllied Health ScienceNassau Community College1 Education DriveGarden City, NY 11530-6793
Title
page setup10×7.5
phone: 516 - 572 - 7536 office- 9460 Secretary
email: [email protected]
website: rtscanner.com
Menu
Menu
- Objectives - next by default
- Dose in free space
- BackScatter Factor ( BSF )
- Percentage Depth Dose ( PDD )
- Tissue Air Ratio ( TAR )
- Tissue Maximum Ratio ( TMR )
- Relationship between BSF, PDD, TAR, TMR
- Conversion between PDD & TAR (also TMR)
- Dose to second point ( i.e. - Cord Dose ) for SSD setup
- Dose to second point ( i.e. - Cord Dose ) for SAD setup
obj 1
Objectives
MENU
1 - Define Dose in Free Space.
2 - Define BackScatter Factor ( BSF ).
3 - State the factors that effect BackScatter Factor ( BSF ).
4 - Define Percantage Depth Dose ( PDD ).
5 - State the factors that effect Percentage Depth Dose ( PDD ).
6 - Define Tissue Air Ratio ( TAR ).
7 - State the factors that effect Tissue Air Ratio ( TAR ).
8 - Define Tissue Maximum Ratio ( TMR ).
9 - State the factors that effect Tissue Maximum Ratio ( TMR ).
10 - State the relationship between TAR, TMR and BSF.
11 - State the relationship between TAR table and BSF.
Dose in Free Space
DFS 0
Dose in Free Space
MENU
DFS 1
MENU
Dose in Free Spacesource
point in space
ionization chamber
build-up cap
radiation beam
The exposure measured in Air at the center of the
chamber is:
Xexposure =
Correction factors due toTemperature
PressureStem error
Exposure measured in
Roentgen
Calibration factor
CT,P,S ×Meterreading × Nx
Xexposure
DFS 2
MENU
Dose in Free Spacesource
Xexposure = CT,P,S ×Meterreading × Nx
The reading from the ionization chamber
gives the Xexposure at the center of the beam without the perturbing
influence of the chamber.
Next, need to place a small mass of tissueat the center of the
beam, who's radius is equal to depth dmax. The dose at the center
of the mass of tissueis referred to as the dose in "free space"
which is equal to:
Dfs = Xexposure × ftissue × Aeq
where:
ftissue
is the Roentgen to rad conversion factor for tissue
ENDDose in Free Space
nextBackScatter Factor
BackScatterFactor
BSF 0
BackScatter Factor
MENU
BSF 1
MENU
BackScatter Factor
fixeddistance
(usually machine operating distance)
generally100 cm Linac80 cm Co60
central axis
beam
Find dosein "free space“
on the central axis.Df.s.
Df.s.Find maximum
dose in a phantom on the central axis at a fixed distance.
Ddmax
Ddmax
BSF 2
MENU
BackScatter Factor
Df.s.Ddmax
Definition:
BSF = ———Df.s.
Ddmax
As the photon energy increases the BSF will become closer to 1.
NOTE:Since the dose at Dmax (Ddmax ) will always be equal to OR greater then the dose in“free space” (Df.s.), BackScatter Factors (BSF) will always be equal to OR greater then 1.
BSF is dependent on:
1) Energy
2) Field Sizeincrease in F.S. increases BSF
3) SSDindependent of SSD
increase in energy decrease in BSF(max BSF ≈ .6 to .8 mm Cu HVL)
depending on field size can be as large as 1.5
PercentageDepth Dose
PDD 0
Percentage Depth Dose
MENU
PDD 1
MENU
Percentage Depth Dose
Ddmaxphantom
FixedSSD
generally100 cm Linac80 cm Co60
Beam
central axis
Find maximum dose on central axis.
Ddmax Find dose at some other depth on central
axis.Dd
Dd
PDD 2
MENU
Percentage Depth Dose
Ddmax
Dd
Percentage Depth Dose @ depthhas been defined as:
PDDd = ——————— × 100%Dose @ depthDose @ Dmax
PDDd = ——— × 100%Ddmax
Dd
PDD 3
MENU
Percentage Depth Dose
Ddmax
Dd
Percentage Depth Dose @ depthhas been defined as:
PDDd = ——————— × 100%Dose @ depthDose @ Dmax
PDDd = ——— × 100%Ddmax
Dd
PDD is dependent on:
1) Energyan increase in energy increases PDD
2) Field Sizean increase in F.S. increases PDD(because of an increase in scatter)
3) Depth of Tissuean increase in depth decreases PDD
4) SSDan increase in SSD increases PDD
( due to the inverse square lawand the fact that PDD is definedat two different points )
two different distances from
the sourceSSD + dmaxSSD + depth
SSD
Tissue Air Ratio
TAR 0
Tissue Air Ratio
MENU
TAR 1
MENU
Tissue Air Ratio
Beam
central axis
Distancefrom source
generally100 cm Linac80 cm Co60
Find dosein "free space“
on the central axis.Df.s.
Df.s.
TAR 2
MENU
Tissue Air Ratio
Beam
central axis
Dd
Distancefrom source
generally100 cm Linac80 cm Co60
Find dosein "free space“
on the central axis.Df.s.
Df.s.
Find dose in phantom at depth on the central
axis at the same distance from source.
Dd
d
TAR 3
MENU
Tissue Air Ratio
Beam
central axis
Dd
Distancefrom source
generally100 cm Linac80 cm Co60
Df.s.
d
Definition:
TARd = ———Df.s.
DdTAR is dependent on:
1) Energyan increase in energy increases TAR
2) Field Sizean increase in F.S. increases TAR(because of an increase in scatter)
3) Depth of Tissuean increase in depth decreases TAR
4) SAD (distance)independent of distance
both reading at same distance from the source
DdDf.s.
Ddmax
TAR 3
MENU
Tissue Air Ratio
Beam
central axis
Dd
Distancefrom source
generally100 cm Linac80 cm Co60
Df.s.
d
Definition:
TARd = ———Df.s.
DdTAR is dependent on:
1) Energy
2) Field Size
3) Depth of Tissuean increase in depth decreases TAR
DdDf.s.
Note:If depth is changed to dmax then:
TARdmax = ———Df.s.
Ddmax BSF = ———Df.s.
Ddmax=
an increase in F.S. increases TAR(because of an increase in scatter) both reading at same
distance from the source
4) SAD (distance)independent of distance
an increase in energy increases TAR
Tissue Maximum Ratio
TMR 0
Tissue Maximum Ratio
MENU
TMR 1
MENU
Tissue Maximum Ratio
BeamDistance
from source
100 cm Linac80 cm Co60
IonizationChamber
Place phantom such that the ionization chamber is at depth
of maximum dose.depth = dmax
dmax
central axis
Turn beam on and record dose reading.
Ddmax
Ddmax
generally
central axis
TMR 2
MENU
Tissue Maximum Ratio
100 cm Linac80 cm Co60
dmax
central axis
Ddmax
Find dose at depth in the phantom at the same
distance from the source.Dd d
Dd
central axis
TMR 3
MENU
Tissue Maximum Ratio
100 cm Linac80 cm Co60
dmax
central axis
Ddmax
d
Dd
Definition:
TMRd = ———Ddmax
Dd
an increase in F.S. increases TMR(because of an increase in scatter)
3) Depth of Tissuean increase in depth decreases TMR
4) SAD (distance)independent of distance
both reading at same distance from the source
DdDdmax.
TMR is dependent on:
an increase in energy increases TMR
2) Field Size
1) Energy
Relationshipbetween
BSF, PDD, TAR, TMR
REL 0
Relationship between BSF, PDD, TAR, TMR
MENU
REL 1
MENU
Relationship between BSF, PDD, TAR, TMR
SOURCE
f(SAD)
IONIZATION CHAMBER
BUILDUP CAP Ddmax1
BSF = ———Df.s.1
Ddmax1
Df.s.1
Dd1
REL 2
MENU
Relationship between BSF, PDD, TAR, TMR
SOURCE
f(SAD)
Ddmax1
BSF = ———Df.s.1
Ddmax1
Df.s.1
d1
TARd1 = ———Df.s.1
Dd1
Dd1
REL 3
MENU
Relationship between BSF, PDD, TAR, TMR
SOURCE
f(SAD)
Ddmax1
BSF = ———Df.s.1
Ddmax1
Df.s.1
d1
TARd1 = ———Df.s.1
Dd1 TMRd1 = ———Ddmax1
Dd1
Dd1
REL 4
MENU
Relationship between BSF, PDD, TAR, TMR
SOURCE
f(SAD)
Ddmax1
BSF = ———Df.s.1
Ddmax1
Df.s.1
d1
TARd1 = ———Df.s.1
Dd1 TMRd1 = ———Ddmax1
Dd1
dmax2
f(ODI,SSD)
Dd2
d2
PDDd2 = ———Ddmax2
Dd2
Ddmax2
Note: d1 = d2
REL 6
MENU
BSF = ———Df.s.1
Ddmax1 TARd1 = ———Df.s.1
Dd1 TMRd1 = ———Ddmax1
Dd1 PDDd2 = ———Ddmax2
Dd2
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
f(SAD)
f(ODI,SSD)
Relationship between BSF, PDD, TAR, TMR
REL 7
MENU
BSF = ———Df.s.1
Ddmax1 TARd1 = ———Df.s.1
Dd1 TMRd1 = ———Ddmax1
Dd1 PDDd2 = ———Ddmax2
Dd2
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
f(SAD)
f(ODI,SSD)
Relationship between BSF, PDD, TAR, TMR
solve BSF equation for
Df.s.1
BSFDf.s.1
Ddmax1=
solve TARd1 equation for
Df.s.1
TARd1Df.s.1
Dd1=
Both equations are equal to "Dose in free space", therefore
they are equal to each other.
=
REL 8
MENU
BSF = ———Df.s.1
Ddmax1 TARd1 = ———Df.s.1
Dd1 TMRd1 = ———Ddmax1
Dd1 PDDd2 = ———Ddmax2
Dd2
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
f(SAD)
f(ODI,SSD)
Relationship between BSF, PDD, TAR, TMR
Df.s.1 =
BSFDdmax1
TARd1
Dd1= rearranging terms:
REL 9
MENU
BSF = ———Df.s.1
Ddmax1 TARd1 = ———Df.s.1
Dd1 TMRd1 = ———Ddmax1
Dd1 PDDd2 = ———Ddmax2
Dd2
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
f(SAD)
f(ODI,SSD)
Relationship between BSF, PDD, TAR, TMR
BSFDdmax1
TARd1
Dd1= rearranging terms:
BSF Ddmax1
TARd1 Dd1= BUT:TMRd1=therefore:
BSFTARd1=TMRd1
rearranging terms:
BSFTARd1 = TMRd1 ×
REL 10
MENU
BSF = ———Df.s.1
Ddmax1 TARd1 = ———Df.s.1
Dd1 TMRd1 = ———Ddmax1
Dd1 PDDd2 = ———Ddmax2
Dd2
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
f(SAD)
f(ODI,SSD)
Relationship between BSF, PDD, TAR, TMR
BSFTARd1 = TMRd1 ×
One other important relationship is between TAR's and BSF.
TARd1 = ———Df.s.1
Dd1
If depth d1 is equal to dmax1 then:
TARd1 = ———Df.s.1
Ddmax1 BUT:Therefore:At depth Dmax TARs are equal to BSFs
Conversionbetween
PDD & TAR(also TMR)
TMR 0
Conversion between PDD & TAR (& TMR)
MENU
TMR 1
MENU
Conversion between PDD & TAR (& TMR)
Dd1
SOURCE
f(SAD)
Ddmax1Df.s.1
d1
dmax2
f(ODI,SSD)
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
TMR 2
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
=
TMR 3
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1
note: This is for field sizeat distance f
Ddmax1Df.s.1
=
TMR 4
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
note: This is for depth d2.This is for the field size at a distance equal to f + d2.Which can be said to be an SAD equal to f + d2.
=
TMR 5
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
Substitute this intoPDD2 equation for Dd2.
Ddmax2
TAR2 Df.s.2×
Solving this equation for Dd2
=
TMR 6
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
= TAR2Dd2 Df.s.2× =PDD2
At this point need to realize thatDmax1 and Dmax2
are related by the"Inverse Square Law"
Thus:
I1
I2
d22
d12=
Ddmax2
TAR2 Df.s.2×
=
TMR 7
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
=PDD2
I1
I2
d22
d12=
Ddmax1
f2=
Ddmax2
TAR2 Df.s.2×
=
TMR 8
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
=PDD2
I1
I2
d22
d12=
Ddmax1 =Ddmax2
f dmf2
+( )2
Ddmax2
TAR2 Df.s.2×
=
TMR 9
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
=PDD2
I1
I2
d22
d12=
Ddmax1 =Ddmax2
f dm
f2
+( )2solving this equation for:
Ddmax2
Ddmax2 = f dm+( )2
f2
× Ddmax1Substitute this into
PDD2 equation.
TAR2 Df.s.2×=PDD2
Ddmax2
TAR2 Df.s.2×
=
TMR 10
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
=PDD2
I1
I2
d22
d12=
Ddmax1 =Ddmax2
f dm
f2
+( )2
Ddmax2 = f dm+( )2
f2
×Ddmax1
TAR2 Df.s.2×=PDD2
Ddmax1
f2f dm+( )2
×
Ddmax1 Df.s.1
=
TMR 11
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
Ddmax1
TAR2 Df.s.2×=PDD2 f2f dm+( )2
× BUT:=BSF1
Ddmax1Df.s.1
Solving for:Dmax1
= BSF1 ×
Ddmax1 Df.s.1
=
TMR 12
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
Ddmax1
TAR2 Df.s.2×=PDD2 f2f dm+( )2
× BUT:=BSF1
Ddmax1Df.s.1
Solving for:Dmax1
= BSF1 ×
Substituting for:Dmax1
TAR2 Df.s.2×=PDD2 f2f dm+( )2
×Df.s.1BSF1 ×
Df.s.1
Df.s.2
=
TMR 13
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
Ddmax1
TAR2 Df.s.2×=PDD2 f2f dm+( )2
×
TAR2 ×=PDD2 f2f dm+( )2
×BSF1 ×
BUTthe relationship between
Df.s.1 and Df.s.2is by the
"Inverse Square Law". THUS:
I1
I2
d22
d12=
invertI2
I1
d12
d22=
substituting into the equation
=d2
f2
f ++( )2substituting
into the equation
Df.s.2Df.s.1
Df.s.1
Df.s.2
=
TMR 14
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
Ddmax1
TAR2 Df.s.2×=PDD2 f2f dm+( )2
×
TAR2=PDD2 BSF1×
=d2
f2
f ++( )2
d2
f2
f ++( )2 f2f dm+( )2
×
=
TMR 15
MENU
Conversion between PDD & TAR (& TMR)
Dd1Ddmax1Df.s.1
d1
dmax2
Dd2
d2Ddmax2
Note: d1 = d2
d2
Df.s.2
f(SAD)
f(ODI,SSD)
BSF1Ddmax1Df.s.1
=TAR2Dd2Df.s.2
=PDD2Dd2
Ddmax2
Ddmax1
TAR2 Df.s.2×=PDD2 f2f dm+( )2
×
TAR2=PDD2 BSF1× f2
d2f ++( )2 f2f dm+( )2
×TAR2=PDD2 BSF1 d2f ++( )2
f dm+( )2
×TAR2=PDD2 BSF1 d2f ++( )2
f dm+( )2END