| Question 1: The AAPM task group 132 report aims to improve the use of deformable image registration (DIR) to guide cancer therapy treatment through which of the following? |
| Reference: | Brock, K. K., Mutic, S., McNutt, T. R., Li, H., & Kessler, M. L. (2017). Use of image registration and fusion algorithms and techniques in radiotherapy: Report of the AAPM Radiation Therapy Committee Task Group No. 132. Medical physics. |
| Choice A: | Restricting registration to rigid |
| Choice B: | Commissioning and QA of DIR systems |
| Choice C: | Mandatory quantitative validation each time DIR is used clinically |
| Choice D: | Demonstrating that there is absolutely no uncertainty in DIR |
| Question 2: The AAPM task group 180 report recommends which of the following? |
| Reference: | Ding, G. X., Alaei, P., Curran, B., Flynn, R., Gossman, M., Mackie, T. R., ... & Zhu, T. C. (2018). Image guidance doses delivered during radiotherapy: Quantification, management, and reduction: Report of the AAPM Therapy Physics Committee Task Group 180. Medical physics. |
| Choice A: | Always using the lowest dose possible for image guidance |
| Choice B: | Disregarding the dose from image guidance as it can never matter clinically |
| Choice C: | Avoiding any image guidance that delivers dose to the patient |
| Choice D: | Balancing ALARA with requirements for effective target localization |
| Question 3: What did a novel endovascular chemotherapy filter tested in a swine model demonstrate? |
| Reference: | Patel AS, Saeed M, Yee EJ, et al. Development and Validation of Endovascular Chemotherapy Filter Device for Removing High-Dose Doxorubicin: Preclinical Study. ASME. J. Med. Devices. 2014;8(4):041008-041008-8. doi:10.1115/1.4027444. 28. |
| Choice A: | No change in doxorubicin concentrations |
| Choice B: | A decrease in relative pre versus post doxorubicin concentrations |
| Choice C: | An increase in relative pre versus post doxorubicin concentrations |
| Choice D: | A sharp increase and then slow decrease in relative pre versus post doxorubicin concentrations |
| Question 4: A prospective single arm study showed that a low-profile visualized intraluminal support device can facilitate the coil embolization of wide-necked intracranial aneurysms with high rates of technical success and an excellent safety profile. |
| Reference: | Fiorella D, Arthur A, Boulos A, et al. Final results of the US humanitarian device exemption study of the low-profile visualized intraluminal support (LVIS) device. Journal of NeuroInterventional Surgery 2016;8:894-897. |
| Choice A: | True. |
| Choice B: | False. |
| Question 5: The concept of “biological target volume” hypothesized that biological images could be used to improve target delineation and dose delivery. |
| Reference: | Towards multidimensional radiotherapy (MD-CRT): biological imaging and biological conformality., Ling, C.Clifton et al. International Journal of Radiation Oncology • Biology • Physics , Volume 47 , Issue 3 , 551 – 560 |
| Choice A: | True. |
| Choice B: | False. |
| Question 6: The Organs-at-Risk Standardization Working Group demonstrated that the highest variability in contouring was observed for the left and right optic tract for cavernous sinus meningioma. What was the agreement volume 100, AV100? |
| Reference: | Assessment of organs-at-risk contouring practices in radiosurgery institutions around the world – The first initiative of the OAR Standardization Working Group, Sandström, Helena et al., Radiotherapy and Oncology , Volume 121 , Issue 2 , 180 - 186 |
| Choice A: | 50% |
| Choice B: | 25% |
| Choice C: | 10% |
| Choice D: | 0 |
