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Telecobalt machine
Main components of Telecobalt
machine are
• Radioactive source
• Source housing –includes
beam collimator and source
movement mechanism.
• Gantry
• Stand
• A patient support
assembly(Couch)
• Beam stopper
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Source Housing
• Housing for source is called “Source head”
• Contains Steel shell filled with lead for shielding purpose
and device to bring the source to on position(opening in the
head)
• Additional primary shield -Heavy metal alloy(copper-
tungsten) sleeve in the source off position.
• Shutter- device which brings source in front of an opening
from which the useful beam comes out.
• And shut off the beam when it is not needed.
• Four types of shutter mechanism basis of moving and
Fixed source
• 1.Rotating wheel
• 2.Sliding window
• 3.Mercury Shutter
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Moving source
• Moving source unit the source moves from a safe
position to a position just behind the primary collimator.
• Sliding window and rotating wheel will come under this
method
• Sliding window: Source mounted on a heavy metal
drawer is moved horizontally by pneumatic pressure
system through a hole running through the source head.
• In the on position source faces the aperture and in the
off position source moves to its shielded location.
• In the off condition light source on the same drawer
occupies the on position of the source.
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Rotating wheel
• Source is attached on a
rotating wheel
• Off condition source is
protected by
approximately 20 HVL of
lead
• When power is on the
wheel is driven by a
motor and its turning at
the direction 180 where
the diaphram .
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Fixed source
• In the fixed source unit the
cobalt source is stationary, the
primary collimator rotates
,opening up a passage for
gamma rays to emerge.
• Mercury Shutter: Mercury is
allowed to flow into the
container immediately below
the source to shutt off the
beam
• Moving Jaw:
• Source if fixed infront of the
aperture and the beam can be
turned on and off position by a
heavy metal Jaws
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Beam collimation and penumbra
• Collimators provide beams of desired shape and size
• Contains primary and secondary collimators
• Primary collimator is near to source which decides maximum
angle of the exiting beam.
• Primary collimator made of tungsten alloy has a conically
shaped hole and it is part of the shielding or shutter
mechanisam.
• Secondary collimator Consists of two pairs of heavy metal
blocks of tungsten to obtain square and rectangular field size.
• Secondary collimators are calibrated so that collimator reading
will
give corresponding field size at isocentre
• Collimators of telecobalt machine provides rectangular and
square shaped radiation fields typically ranging from 5X5 to
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• The rotational movement of
the collimator is continuous,
and it can rotate 360° about
its own axis.
• The collimator system can
move to any position when
the gantry is rotated.
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Field size
• Field size may be defined either
geometrically or dosimetrically.
• Geometric field size: Defined as the
projection on the plane perpendicular to
the beam axis of the distal end of the
collimator as seen from center of the
source.
• It is correspond to the field size defined
by the light localizer.
• Dosimetric or Physical field size:As per
ICRU recommendation it is the Distance
intercepted by the given isodose curve
usually 50 % on a plane perpendicular to
the beam axis at a stated distance from
the source usually at isocentre and at
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Penumbra-Beam edge
• Penumbra refers to the region at the edge of the beam
where the dose rate changes rapidly as a function of
distance from the beam axis.
• The penumbra width of Ideal external beam should be
minimum.
• The physical penumbra is the penumbra measured in
the dose profile.
• Physical penumbra corresponds the distance between
20% and 80% isodose line at dmax
• Components to physical penumbra:
1.Geometric penumbra
2.Transmission penumbra
And scattered radiation from the patient.
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Geometric penumbra
• Geometric penumbra is caused
by source or focal spot having a
finite size.
• The width of the penumbra
=D(SSD-SDD)/SDD
Factors that increase penumbra:
• Increase in SSD
• Increase in Source diameter
Factors that decrease penumbra:
• Decrease in SSD& Source dia
• Increase in SCD (source to
collimator distance)
The distance between Pi and P0 is
called geometric penumbra width
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Transmission penumbra
• Transmission penumbra is
due to photons emitted by the
distal part of the source are
partially attenuated by the
collimator.
• These rays smear the
geometric penumbra
• Transmission penumbra can
be decreased when using
diverging block in which
block edges are parallel to the
beam divergence but this will
increase the geometric
penumbra.
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ODI and light field localizer
• Collimator also provided with
optical distance indicator(ODI)
and visual filed localizer.
• ODI used to measure the
distance of the patient surface
from the source.
• ODI consists of a light bulb
coupled to optical device
which displays the SSD
• Visual field localizer
comprises a lamp and mirror
,which can show the size and
position of the field in the
patient skin.
• ODI represents the exact SSD
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Gantry
• Gantry is attached to stand capable of rotating 360
degree
• 2 arms-Source head & beam stopper
• The rotational movement of the gantry is motorized and
controlled in two directions continuously; its rotation
speed can be adjusted.
• Teletherapy machines are most often mounted
isocentrically, allowing the beam to rotate about the
patient at a fixed SAD.
• Modern teletherapy machines have SADs of 80 or 100
cm
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Treatment couch:
• Integral part of the machine
• Has motorized movements –lateral,Longitudinal
,Rotational and vertical.
Stand:
• Base of unit and its fixed in floor has an electrical and
electronic circuits .
• Contains circular scale to indicate the position of gantry
during treatment.
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• Control console: outside the treatment room connected
to the machine by cables.
• Contains timer and on ,OFF switches with light indicator
• Prescribed target dose is delivered with help of two
timers
• Primary timer: Actually controls the treatment time.
• Secondary timer: Accounts for the source movement
from off to on position and again to off position
• Room Doors: Provided with inter locks: beam on when
the door is closed
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Beam Stopper
• Beam Stopper: It acts as counter weight and so
absorbs exit radiation
• Reduces primary radiation however patient setup
becomes difficult.
Editor's Notes
Radionuclide source can not be switched off like X ray tube can be turned on and off
Collimator confines the radiation to the appropriate size and direction.
Solid line shows the profile interpreted geometrically and dashed line shows real profile observed.
Penumbra of Co-60 beam is >1 cm
Supervised area –area where the calculated exposure rates through barrier should be less than 1 msV/year