| Question 1: (1) The radiation dose for an intraoperative cone-beam CT scan is typically: |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Advances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX, (2019). |
| Choice A: | (a) lower than the dose for a diagnostic CT scan |
| Choice B: | (b) about the same as the dose for a diagnostic CT scan |
| Choice C: | (c) higher than the dose for a diagnostic CT scan |
| Choice D: | (d) cannot be directly compared to the dose associated with a diagnostic CT scan |
| Question 2: (2) 3D2D image registration geometrically aligns an intraoperative radiograph with: |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | (a) the operating table |
| Choice B: | (b) the tracking system |
| Choice C: | (c) the pelvis |
| Choice D: | (d) a preoperative CT or model of a surgical implant |
| Question 3: (3) Image analytics could offer improved understanding of: |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | (a) surgical outcomes |
| Choice B: | (b) healthcare costs |
| Choice C: | (c) surgical site infection |
| Choice D: | (d) complex workflow |
| Question 4: (4) The goal of medical robotics is to: |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | (a) replace the surgeon’s decision making |
| Choice B: | (b) augment the surgeon’s capabilities |
| Choice C: | (c) completely the procedure autonomously |
| Choice D: | (d) prevent lawsuits against surgeons |
| Question 5: (5) Image guidance for medical robotics means |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | (a) the imaging system is built into the robotics device |
| Choice B: | (b) the capabilities of the robot are augmented by the imaging system |
| Choice C: | (c) the robot can operate autonomously |
| Choice D: | (d) no imaging is needed as the robot takes over |
| Question 6: (6) Conventional image-guided surgery involved three key components: preoperative imaging, localization, and _______________. |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | a. Polymerase chain reaction |
| Choice B: | b. Evaluation |
| Choice C: | c. Registration |
| Choice D: | d. Distillation |
| Question 7: (7) When comparing the surface of the liver as measured by conventional CT images to that acquired by geometric tracking technologies during surgical presentation for open procedures, the difference in shape after registration was reported to be as much as: |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | a. sub-millimetric |
| Choice B: | b. +/- 1.0-2.0 millimeters |
| Choice C: | c. +/- 1.0-2.0 centimeters |
| Choice D: | d. +/- 5.0 centimeters |
| Question 8: (8) In this talk, examples of how computation could be used for surgery and intervention were expressed. Three of the following 4 biophysical models were used to augment the delivery of therapy to the liver. Which one was NOT discussed? |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | a. Biomechanics was to account for deformation effects |
| Choice B: | b. Bioelectric models to estimate power deposition in tissue |
| Choice C: | c. Biothermal models to estimate thermal dose |
| Choice D: | d. Biomass transport to estimate drug delivery |
| Question 9: (9) One of the challenges involved in the trans-oral resection of tumors of the pharynx and larynx is: |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | (a) The tumors tend to bleed a lot |
| Choice B: | (b) It carried higher morbidity when compared with open approaches or non-surgical treatment |
| Choice C: | (c) Most major medical centers do not have the technology required for this type of approach |
| Choice D: | (d) Assessing tumor extent is limited due to the “inside-out†nature of the approach and lack of haptic feedback |
| Question 10: (10) Preoperative imaging (CT and MRI) for image guided head and neck surgery: |
| Reference: | J. Siewerdsen, K. Cleary, M. Miga, and J. Paydarfar, "Adavances in Image-Guided Interventions," Annual Meeting of the AAPM, San Antonio TX (2019). |
| Choice A: | (a) Is easily registered to the intra-operative state with high levels of registration accuracy |
| Choice B: | (b) Cannot be registered to the intraoperative state due to the significant deformation that occurs with placement of surgical retractors and laryngoscopes |
| Choice C: | (c) Is not covered by insurance |
| Choice D: | (d) Is not necessary because most medical centers have high resolution intraoperative CT and MRI capabilities |
