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# TG-51 and Clinical Monitor Unit Calculations

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### TG-51 and Clinical Monitor Unit Calculations

1. 1. Treatment  Machine  Calibra0on   (TG51)   and  Monitor  Unit  Calcula0ons   By     Vibha  Chaswal,  PhD   Mentors:  Dr.  Alfredo  R  Siochi,  Edward  Pennington
2. 2. ObjecBves   •  Nuances  of  Clinical  MU  calculaBons     •  TG-­‐51  protocol:  clinical  reference  dosimetry   procedures  for  high  energy  photons  and   electron  beams
3. 3. Part  1:  MU  CalculaBons   •  Hand-­‐calculaBons  performed  over  number  of   cases   •  Performed  using  TPR  technique   •  MU  equaBons:   MUTPR = MU PDD = Dose / fx * beam weight K * TPR@ calc depth for fs@ calc * Sp fs@ calc * Sc coll fs * ISF * OAR@ calc depth for off -axis distance * TF *WF Dose / fx * beam weight K * PDD@ calc depth for fs @ surface, SSD * Sp fs@ surface * Sc coll fs * ISF * OAR@ calc depth for off -axis distance * TF *WF
4. 4. Clinical  Reference  dosimetry  set-­‐up:  SAD  and  SSD   SSD   SAD   10x10 10 cm 10 cm 10x10
5. 5. Hand  Calcula0ons  are  a  stepwise  transla0on   Dose  to  the  Water  Phantom  at  reference  condi0ons  =>  Dose  at  any  point  in  the  pa0ent     Source   Source   100  cm   Reference   calibraBon  point   Dose   CalculaBon   point
6. 6. Hand  MU  calculaBons   i.  Iso-­‐centric  calculaBons   ii.  Point  oﬀ  Isocenter  in  the  iso-­‐centric  plane  (AP/ PA)   iii.  Point  oﬀ  isocenter  oﬀ  the  iso-­‐centric  plane  (AP/ PA)   iv.  Whole  brain   v.  TangenBal  asymmetric  ﬁelds  –  Breast  plan   vi.  4  ﬁeld  breast  –  PAB  /super-­‐calv  and  tangenBal   ﬁelds
7. 7. Error  eliminaBon  in  hand  calcs:  correct  ﬁeld  size  esBmaBon
8. 8. Rearrange  MLCs  to  get  simpler  shapes….   ….Or  use  %  esBmaBon  for  blocked  area
9. 9. Error  elimina0on:  calc  point  depth   Either  measure  physical  depth  from  pinnacle,  or   use  eﬀec0ve  depth  reported  by  Pinnacle  TPS
10. 10. Other  lessons   Account  for  missing  Bssue   Use  correct  ISF,  big  diﬀerence     MU  calculaBons  in  dmax  region  have   more  uncertainty
11. 11. TangenBal  breast/chest  wall  tx  and  4-­‐ﬁeld  breast  tx   Involves:   -­‐  Constantly  changing  breast  contour  and   volume  in  the  ﬁeld   -­‐  Oblique  surface  contour   -­‐  Asymmetric  Jaw   -­‐  Oﬀ-­‐axis  calculaBon  point
12. 12. TG-­‐51  CalibraBon   •  TG-­‐51  calibraBon  for  6X  photon  beam  –  Elekta   •  TG-­‐51  calibraBon  for  all  Photon  and  Electron   Energies  on  Oncor  A   Lessons:   -­‐  EﬀecBve  point  of  measurement  and  point  of   measurement  depths   -­‐  What  is  real  dmax
13. 13. Thank  you!!!