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SSD Calculation

1) The document discusses SSD (source-to-surface distance) calculations for determining dose at various depths for different linear accelerator beam configurations. 2) The SSD equation is provided which relates the monitor units (MU) setting to prescribed dose based on factors like reference dose rate, inverse square correction, scatter factors, percent depth dose (PDD), and other treatment parameters. 3) Several examples are provided of using the SSD equation to calculate MUs needed to deliver a prescribed dose of 180 cGy at different depths and field sizes, with and without blocking trays or a changed SSD.

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Edis Đedović
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316 views10 pages

SSD Calculation

1) The document discusses SSD (source-to-surface distance) calculations for determining dose at various depths for different linear accelerator beam configurations. 2) The SSD equation is provided which relates the monitor units (MU) setting to prescribed dose based on factors like reference dose rate, inverse square correction, scatter factors, percent depth dose (PDD), and other treatment parameters. 3) Several examples are provided of using the SSD equation to calculate MUs needed to deliver a prescribed dose of 180 cGy at different depths and field sizes, with and without blocking trays or a changed SSD.

Uploaded by

Edis Đedović
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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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

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