A linear accelerator is calibrated to deliver 1cGy for 1 MU at 1.5cm depth, with an SSD of 100cm and a
field size of 10x10cm.
1. If the output delivered at 100cm source to point distance at 5cm depth is 1.03cGy/MU. What is
the output delivered at 200cm source to point distance, and a depth of 5cm?
2. What is the inverse square factor for a calculation point at 90cm SSD and a depth of 10cm?
3. If the output for a 35x35cm field at 1.5cm is 1.036cGy/MU with an SSD of 98.5cm, what is the
output at 10cm depth with an SSD of 90cm [TMR(10cm)=0.809]?
4. How many MU are needed to deliver 200cGy at 5cm depth with a 10x10cm field at 95cm SSD
[TMR(5cm)=0.918, Scp=1.000, Inverse Square Factor = ISF?]?
5. A patient’s treatment MU are calculated to deliver a dose of 200cGy at 100cm SAD at a depth of
10cm. The optical distance indicator (ODI) is mis-calibrated by 2cm, the resulting SSD = 88cm.
Because of this discrepancy, what is the delivered dose to the 10cm depth prescription point?
6. Is the Mayneord F Factor needed when using Tissue Maximum Ratios?
7. The TMR for a 10x10cm 6MV photon field at 100cm SAD is 0.730 at 10cm depth. If the SSD were
changed from 90cm to 95cm (but the depth remains the same), the expected change in the TMR
would be:
a. Increase 5%
b. Increase 7.5%
c. Decrease 5%
d. Decrease 7.5%
e. Zero
8. The dose rate at the patient’s midline, depth of 10cm, is found to be 300cGy/min at 100cm SAD.
A protocol requires that the dose rate be no more than 100cGy/min. Therefore, the patient
must be treated at what SSD?
9. For an SAD treatment with a 6MV x-ray beam, what is the MU setting to deliver 300cGy at the
100% isodose line for a 15x15cm field size at 10cm depth and 90cm SSD? [TMR(10) = 0.793,
Sc=1.017, Sp=1.014, Dmax = 1cGy/MU @ 100cm SSD]
10. In regards to question #10, what is the given dose (dose at dmax)?
11. In regards to question #10, what is the dose at 20cm deep if TMR(20)=0.549?
Use the beam data tables, located on the last page of this homework assignment, to complete
the remaining questions. The linear accelerator is calibrated to deliver 1cGy for 1MU at 1.5cm
depth with a 10x10cm field size at 100cm SSD.