2021 AAPM Virtual 63rd Annual Meeting
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Session Title: Brachytherapy Technology Horizon
Question 1: One advantage of deep learning over conventional machine learning is:
Reference:Yann LeCun et al, Nature, volume 521, 436–444 (2015)
Choice A:Deep learning is more robust than conventional machine learning
Choice B:Deep learning can better handle processing of complex data, such as images, data with mixed characteristics etc.
Choice C:The training process of deep learning is faster
Choice D:Deep learning requires less amount of data
Question 2: Which of the following is often NOT a potential concern when developing a deep learning model in practice?
Reference:Sahiner et al, Medical Physics, 46, 1-36 (2019), Chenyang Shen et al, Phys. Med. Biol. 65, 05TR01 (2020)
Choice A:The model overfits training data
Choice B:The model is not robust against perturbations such as noise in the input data
Choice C:The model only means correlation and it is hard to tell causality
Choice D:The model is slow to compute the output results for the input
Question 3: IMABS provides at least 1 additional degree of freedom in the brachytherapy dose delivery process, which includes:
Reference:Callaghan CM, Adams Q, Flynn RT, et al. Systematic review of intensity-modulated brachytherapy (IMBT): Static and dynamic techniques. Int J Radiat Oncol Biol Phys 2019;105:206-221.
Choice A:Dwell times
Choice B:Dwell positions
Choice C:Directionality of the radiation beam
Choice D:Robot-assisted needle insertion
Question 4: Metal induced MRI artifacts makes Tungsten unsuitable for use in IMABS for MRI-only guided brachytherapy.
Reference:Soliman AS, Elzibak A, Easton H, et al. Quantitative MRI assessment of a novel direction modulated brachytherapy tandem applicator for cervical cancer at 1.5T. Radiother Oncol 2016;120:500-506.
Choice A:True
Choice B:False
Question 5: On which steps of the treatment planning process have mathematical optimization methods been applied?
Reference:Morén B, Larsson T, Carlsson Tedgren Å. Optimization in treatment planning of high dose-rate brachytherapy - Review and analysis of mathematical models. Med Phys, published online ahead of print Feb 2021.
Choice A:The source dwell time pattern
Choice B:The catheter placement
Choice C:Both of the above
Question 6: Common to all examples of 3D printed gynecological and surface brachytherapy applicators is
Reference:Some surface applicators are not Class VI biocompatible, some applicators have a generic shape but custom source trajectories, and most have not included shielding. Generic GYN applicator with custom trajectories was published in: Lindegaard, J. C., Madsen, M. L., Traberg, A., Meisner, B., Nielsen, S. K., Tanderup, K., Spejlborg, H., Fokdal, L. U., & Nørrevang, O. (2016). Individualised 3D printed vaginal template for MRI guided brachytherapy in locally advanced cervical cancer. Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology, 118(1), 173–175. https://doi.org/10.1016/j.radonc.2015.12.012
Choice A:Printing with Class VI biocompatible materials
Choice B:A patient-specific shape derived from imaging
Choice C:The incorporation of custom HDR source catheter trajectories
Choice D:The inclusion of 3D printed shielding
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