2019 AAPM Annual Meeting
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Session Title: Surface Image Guided Radiotherapy
Question 1: Which of the following does not require special consideration for the initial clinical implementation of surface imaging?
Reference:Gutierrez AN, Al-Hallaq HA, Stanley DN. “Surface Image-Guided Radiotherapy: Overview and Quality Assurance.” Image Guidance in Radiation Therapy: Techniques, Accuracy, and Limitations, 2018 Summer School, edited by Parham Alaei and George Ding, vol. 39, AAPM, 2018, pp. 279–308.
Choice A:Skin tone effect
Choice B:Field of view
Choice C:Camera settings optimization
Choice D:Level of light in the treatment room
Question 2: The use of surface imaging as the primary setup technique has been shown to reduce pre-CBCT shifts in which of the following sites?
Reference:Stanley DN, McConnell KA, Gutierrez AN, Kirby N, Papanikolaou N, Rasmussen K “Comparison of Initial Patient Setup Accuracy between Surface Imaging and Three Point Localization: a Retrospective analysis” J Appl Clin Med Phys. Doi: 10.1002/acm2.12183 2017 Sept. 13
Choice A:Breast
Choice B:Abdomen
Choice C:Extremities
Choice D:Pelvis
Choice E:All of the Above
Question 3: How can the effects of skin tone darkening be detected in surface imaging systems?
Reference:H Kang, M Malin, S Chmura, Y Hasan, H Al-Hallaq, “Robust region-of-interest for consistent registration on deteriorated surface images,” Medical Physics, 43(6):3410, 2016. https://dx.doi.org/10.1118/1.4955927
Choice A:Alerts from software
Choice B:Inconsistent registration outputs
Choice C:Holes appear in surface
Choice D:B and C
Choice E:All of the above
Choice F:None of the above
Question 4: Setup errors of voluntary DIBH treatments using a mono-isocentric technique to match supraclavicular breams to tangential beams (i.e., 3-field) were smaller than treatments with tangential beams alone (i.e., 2-field).
Reference:A Xiao, J Crosby, M Malin, H Kang, M Washington, Y Hasan, SJ Chmura, HA Al-Hallaq, “Single-institution report of setup margins of voluntary DIBH whole breast radiotherapy implemented with real-time surface imaging,” JACMP, 19(4):205-213, 2018. https://dx.doi.org/10.1002/acm2.12368
Choice A:True
Choice B:False
Question 5: In Zagar et al’s report of 20 left breast cancer patients treated with radiation therapy using deep inspiration breath hold (DIBH) and conformal heart blocking, what was the percentage of patients who had a radiation therapy induced cardiac perfusion defect?
Reference:Zagar et al. Utility of deep inspiration breath hold for left-sided breast radiation therapy in preventing early cardiac perfusion defects: A prospective study. IJROBP 97, No. 5, pp. 903 – 909, 2017.
Choice A:0%
Choice B:10%
Choice C:25%
Choice D:50%
Question 6: True or false – In Cerviño et al, they found that during SRS treatments with minimal immobilization, there was no role for SGRT because none of the 23 patients moved more than 1 mm during treatment.
Reference:Cerviño et al. Initial clinical experience with a frameless and maskless stereotactic radiosurgery treatment. PRO 2, pp 54 – 62, 2012.
Choice A:True
Choice B:False
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