2016 AAPM Annual Meeting
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Session Title: Rest In Peace - ITV
Question 1: Lung tumor motion…
Reference:Shah et al. "Real-time tumor tracking in the lung using an electromagnetic tracking system," International Journal of Radiation Oncology* Biology* Physics 86, 477-483 (2013).
Choice A:Is the same for all patients, between treatments and within each treatment
Choice B:Varies between patients, but stays the same between treatments and within each treatment.
Choice C:Varies between patients and treatments, but stays the same within each treatment.
Choice D:Varies between patients, between treatments and within each treatment.
Question 2: For the majority of patients, the impact of respiratory motion on radiotherapy dose delivery to a small tumor is:
Reference:Witte et al. “The effects of target size and tissue density on the minimum margin required for random errors,” Med. Phys. 31, 3068-3079 (2004).
Choice A:Larger in lung than in liver
Choice B:Smaller in lung than in liver
Choice C:The same in lung and liver
Question 3: Calculation of an appropriate PTV margin requires:
Reference:van Herk et al. “The probability of correct target dosage: dose-population Histograms for deriving treatment margins in radiotherapy, ” In. J. Radiat. Biol. Phys. 47: 1121-1135 (2000).
Choice A:Defining the region in space that covers the CTV 100% of the time for all fractions
Choice B:Defining a region of space that is covered by a certain isodose line during all time for each fraction
Choice C:Defining a region in space that is covered with a certain probability by a certain isodose line in the dose accounting for intra- and inter-fraction motion
Question 4: What is the largest source of error in the dosimetry chain without tracking?
Reference:Colvill et al. A dosimetric comparison of real-time adaptive and non-adaptive radiotherapy: A multi-institutional study encompassing robotic, gimbaled, multileaf collimator and couch tracking, Rad Onc 2016
Choice A:Modeling MLC transmission and offsets
Choice B:Target motion
Choice C:Dose calculation algorithms
Choice D:Measurement inaccuracies
Question 5: CTV-PTV margins for lung and prostate SBRT are…
Reference:Q.-T. Le, B.W. Loo, A. Ho, C. Cotrutz, A.C. Koong, H. Wakelee, S.T. Kee, D. Constantinescu, R.I. Whyte, J. Donington, "Results of a Phase I Dose-Escalation Study Using Single-Fraction Stereotactic Radiotherapy for Lung Tumors," Journal of Thoracic Oncology 1, 802-809 (2006).
Choice A:Similar for tracking and similar for conventional
Choice B:Similar for tracking and different for conventional
Choice C:Different for tracking and similar for conventional
Choice D:Different for tracking and different for conventional
Question 6: If a typical lung patient is gated 50% of the time the beam is on, what is the effect on efficiency?
Reference:Guckenberger et al, “A novel respiratory motion compensation strategy combining gated beam delivery and mean target position concept --a compromise between small safety margins and long duty cycles., ” Radiother. Oncol. 98(3):317-22 (2011).
Choice A:Efficient around inhale.
Choice B:Efficient around exhale.
Choice C:Not worth the trouble as it only halves the motion.
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