5.6 Perform simple manual treatment planning dose calculations and use RTPS for planning, dose optimisation and evaluation
  1. Gain an understanding of the:
    • Dose and dose fractionation schemes of a variety of treatments
    • Principles, methods and procedures of:
      • Treatment planning
      • Dose calculation and optimization
      • Treatment simulation
    • Legal requirements for record and documentation in radiotherapy.
    • ICRU system of dose prescription, recording and reporting in external beam therapy.
    • Content and format of the department dose prescription chart and treatment record for a variety of treatments and the level of compliance with ICRU recommendations.
    • Content and format of department treatment plan for a variety of treatments and the level of compliance with ICRU recommendations.
    • Tolerance dose of a variety of normal tissue structures and organs
    • Radiation beam arrangements for a variety of treatments
    • Choice of beam modality and energy for clinical applications.
    • Effects of:
      • Beam parameters on dose (eg. field size, off axis, weighting, normalisation, FSD, energy, photon/electron)
      • Beam modifiers (eg. shielding, asymmetric jaws, MLC, wedges, compensators, bolus etc) on dose
      • Tissue inhomogeneity and the shape of body contour on dose and correction methods
      • Normalisation on isodose curves
      • Contrast media in patient image data
      • Organ and patient motions on dose and correction methods
  2. Perform by manual and/or computer methods for a variety of treatments and patient set up conditions:
    • Dose distribution and MU or treatment time calculations for treatments using:
      • Orthovoltage X-ray beams
      • Megavoltage photon beams
      • Electron beams
      • Combination of photon and electron beams
    • Planning of treatments using:
      • Abutting fields
      • Arc therapy
      • Irregular fields
      • Wedged fields
      • Oblique incident beams
      • Tissue inhomogeneity correction
      • Beam modifiers/compensators
      • 3-D conformal radiotherapy
      • Total body irradiation
      • Total skin electron irradiation
      • Stereotactic techniques
      • Image guided radiotherapy techniques
      • Motion compensation radiotherapy techniques
      • Adaptive radiotherapy techniques
    • Forward and inverse planning for IMRT, including dose optimization
  3. Prepare documentation of individual treatment plans.
  4. Demonstrate the use of a variety of tools in treatment planning, including:
    • Beam’s eye view
    • 3D volumetric isodose displays
    • Digital reconstructed radiographs
    • Inverse dose planning and optimization based on physical dose and biological indices

Training, Evidence and Notes

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