SSD Calculations

Source
• Patient surface at 100cm
– (80cm for Co-60)
– Usually a single beam 100 cm
– Most simple of all calculations
– Most likely to be called upon to do
Patient Surface

Depth = d cm

Dose to a point at depth

 The SSD Equation
• MU Setting = Prescribed Dose .

RDR x ISCF x Sc x Sp x (PDD/100) x Other Factors

RDR = reference dose rate usually 1 cGy/MU (cGy/min for Co-60)

ISCF = inverse square correction factor
Sc = collimator scatter factor
Sp = phantom scatter factor
PDD = percent depth dose
Other factors = trays, wedges, etc…
 Case 1: 180 cGy to Dmax, 10x10 Open Field

• MU Setting = Prescribed Dose .

RDR x ISCF x Sc x Sp x (PDD/100) x Other Factors

RDR = reference dose rate usually cGy/MU (cGy/min for Co-60)

ISCF = inverse square correction factor 100 cm
Sc = collimator scatter factor 10x10 Field Size
Sp = phantom scatter factor
PDD = percent depth dose
Other factors = trays, wedges, etc…

RDR = 1 cGy/MU
ISCF = N/A = 1.000
Depth = dmax
Sc = 1.000 = 1.5 cm
Sp = 1.000
PDD = 100%
Other factors = N/A = 1.000

• MU Setting = 180 .

1 x 1.000 x 1.000 x 1.000 x (100/100) x 1.000

= 180 MU
 Case 2: 180 cGy to d = 5 cm, 10x10 Open Field

• MU Setting = Prescribed Dose .

RDR x ISCF x Sc x Sp x (PDD/100) x Other Factors

RDR = reference dose rate usually cGy/MU (cGy/min for Co-60)

ISCF = inverse square correction factor 100 cm
Sc = collimator scatter factor 10x10 Field Size
Sp = phantom scatter factor
PDD = percent depth dose
Other factors = trays, wedges, etc…

RDR = 1 cGy/MU
ISCF = N/A = 1.000
Depth = 5 cm
Sc = 1.000
Sp = 1.000
PDD = 87.1%
Other factors = N/A = 1.000

• MU Setting = 180 .

1 x 1.000 x 1.000 x 1.000 x (87.1/100) x 1.000

= 207 MU
 Case 3: 180 cGy to d = 5 cm, 10x20 Open Field

• MU Setting = Prescribed Dose .

RDR x ISCF x Sc x Sp x (PDD/100) x Other Factors

RDR = reference dose rate usually cGy/MU (cGy/min for Co-60)

ISCF = inverse square correction factor 100 cm
Sc = collimator scatter factor 10x20 Field Size
Sp = phantom scatter factor
PDD = percent depth dose
Other factors = trays, wedges, etc…

RDR = 1 cGy/MU
ISCF = N/A = 1.000
Depth = 5 cm
Sc = 1.013 (Based Upon 13x13 equivalent square)
Sp = 1.008 (Based Upon 13x13 equivalent square)
PDD = 87.7% (Based Upon 13x13 equivalent square)
Other factors = N/A = 1.000

• MU Setting = 180 .

1 x 1.000 x 1.013 x 1.008 x (87.7/100) x 1.000

= 201 MU
 Case 4: 180 cGy to d = 5 cm, 10x20, 20% blocked field

• MU Setting = Prescribed Dose .

RDR x ISCF x Sc x Sp x (PDD/100) x Other Factors

RDR = reference dose rate usually cGy/MU (cGy/min for Co-60)

ISCF = inverse square correction factor 100 cm
Sc = collimator scatter factor 10x20 Field Size
Sp = phantom scatter factor
PDD = percent depth dose
Other factors = trays, wedges, etc…

RDR = 1 cGy/MU
ISCF = N/A = 1.000
Depth = 5 cm
Sc = 1.013 (Based Upon 13x13 equivalent square)
Sp = 1.005 (Based Upon 11.7x11.7 effective square)
PDD = 87.4% (Based Upon 11.7x11.7 effective square)
Other factors = 0.970 (a blocking tray transmission factor)

• MU Setting = 180 .

1 x 1.000 x 1.013 x 1.005 x (87.4/100) x 0.970

= 208 MU
 Case 5: 180 cGy to d = 5 cm, 10x20, 20% blocked field, SSD = 110 cm*
*Ignoring Mayneord Factor

• MU Setting = Prescribed Dose .

RDR x ISCF x Sc x Sp x (PDD/100) x Other Factors

RDR = reference dose rate usually cGy/MU (cGy/min for Co-60)

ISCF = inverse square correction factor 110 cm
Sc = collimator scatter factor
9.1x18.2 Field Size on the machine
Sp = phantom scatter factor
PDD = percent depth dose
Other factors = trays, wedges, etc… 10x20 Field Size on the patient

RDR = 1 cGy/MU
ISCF = (101.52/111.52) = 0.828
Sc = 1.007 (Based Upon 11.8x11.8 equivalent square)
Sp = 1.005 (Based Upon 11.7x11.7 effective square) Depth = 5 cm
PDD = 87.4% (Based Upon 11.7x11.7 effective square)
Other factors = 0.970 (a blocking tray transmission factor)

• MU Setting = 180 .

1 x 0.828 x 1.007 x 1.005 x (87.4/100) x 0.970

= 253 MU
 Case 6: 180 cGy to d = 5 cm, 10x20, 20% blocked field, SSD = 110 cm*
*Including Mayneord Factor

• MU Setting = Prescribed Dose .

RDR x ISCF x Sc x Sp x (PDD/100) x Other Factors

RDR = reference dose rate usually cGy/MU (cGy/min for Co-60)

ISCF = inverse square correction factor 110 cm
Sc = collimator scatter factor
9.1x18.2 Field Size on the machine
Sp = phantom scatter factor
PDD = percent depth dose
Other factors = trays, wedges, etc… 10x20 Field Size on the patient

RDR = 1 cGy/MU
ISCF = (101.52/111.52) = 0.828
Sc = 1.007 (Based Upon 11.8x11.8 equivalent square)
Sp = 1.005 (Based Upon 11.7x11.7 effective square) Depth = 5 cm
PDD = 87.4% x (1052)/(101.52) x (111.52)/(1152) = 87.9%
Other factors = 0.970 (a blocking tray transmission factor)

• MU Setting = 180 .

1 x 0.828 x 1.007 x 1.005 x (87.9/100) x 0.970

= 252 MU
 Case 7: Rx 180 cGy to d = 5cm, what is the dose to dmax?

In an SDD setup, the doses inside the patient are related by the
ratio of PDDs.

Dose Dmax = 180 cGy x PDD(dmax) / PDD(d=5) 100 cm

10x10 Field Size
= 180 x 100 / 87.1 = 206.7 cGy

dmax Depth = 5 cm
Mayneord Factor