Question

A) a tumour located at a depth of 10cm is treated using a non-isocentic technique with a Co-60 machine, to a dose of 1.8Gy, with a single 5cm x 5cm beam. compute the maximum dose received anywhere in the patient's anatomyrefer to table for PDD data

depth cm	field size -->	5 x 5	10 x 10	20 x 20
0.5		100	100	100
5.0		76.7	80.4	83.0
10.0		53.3	58.7	63.3

B) at what depth does the maximum dose occur? Explain?

C) compute the dose at a depth of 5cm along the beam axis

D) would this be a good treatment strategy?

Answer 1

b)Cobalt 60 is produced in a nuclear reactor by bombarding 59Co with neutrons. Half life of Cobalt 60 is 5.3 years and decays by negative beta emission to metastable 60Ni. Which quickly releases a gamma ray of either 1.17 or 1.33 MeV to reach a stable state.The source typically has an activity of 185 – 370 MBq, giving a dose rate at 80 cm of 1 – 2 Gy/minute. The Cobalt 60 source is usually replaced before a single half life has elapsed.

c)If we rotate the source or slid it into the treatment position, when dose delivery is desired. An emergency shut off is required in the event of power failure. Dose delivery can be measured by treatment time as opposed to monitor units, as the time required to deliver a dose increases as the source activity decreases. A primary timer and backup secondary timer are used to control treatment time.

Fields are defined by secondary collimators and range from 5 x 5 cm to 30 x 30 cm at an SSD of 80 cm. The geometric penumbra of the beam is dependent on the source size (limited for cobalt 60 units to about 1 cm) and is typically wider than that for a linear accelerator. penumbra trimmers, a beam accessory, can be placed closer to the patient surface to provide additional collimation and reduce the effect of the finite source size.

d)A gantry (in isocentric machines) to allow the source to rotate around a fixed position. The SAD is usually 80 or 100 cm. The gantry is typically attached to a stand which houses motors and monitoring equipment.A patient support assembly or patient couch which allows the patient to be positioned in the desired position.A bunker to protect staff, patients and the general public from unnecessary radiation exposure.A machine console outside the bunker which allows therapists to operate the machine remotely.It is important to evaluate each aspect of the equipment choice, first of all the anticipated clinical benefits to patients but also the management of the technology over time to ensure that it will deliver consistently safe and effective treatment,” said Ahmed Meghzifene, Head of the Dosimetry and Medical Radiation Physics Section at the IAEA. “If not correctly handled and maintained, radiotherapy equipment may deliver non-optimal treatments to patients and in extreme situations may cause harm.The side event ‘How to maximize the efficiency of radiation treatment – integrating cobalt-60 machines and linear accelerators’, provided a balanced perspective on these two technologies to help Member States make informed decisions based on their specific needs and conditions. Linear accelerators (linacs) and cobalt-60 (Co-60) machines are two of the most commonly used machines for external beam radiotherapy, a procedure in which high-energy beams are used to kill tumour cells.overall budget is little bit high but its the question of your health. overall it is a good choice.