Treatment Planning Theory Compency Checklist as per the American Association of Medical Dosimetrist (AAMD) curriculum as the the

International Atomic Energy Agency (IAEA) radiotherapy curriculum Demonstrate understanding. Write a minimum of ~ 2 to 5 sentances about each item Sumbit write up to the ePortfolio dropbox
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Basic Radiation Physics 1 Atomic & Nuclear Structure 2 Electron Interactions 3 Photon Interactions Dosimetric Principles, Quantities and Units Photon Fluence and Energy Fluence Kerma Cema Absorbed Dose Stopping Power The Relationship between Various Dosimetric Quantities Cavity Theory Radiation Dosimeters Properties of Dosimeters Ionization Chamber Dosimetry Systems Film Dosimetry Luminescent Dosimetry Semiconductor Dosimetry Other Dosimetry Systems Primary Standards Summary of Some Commonly Used Dosimetric Systems

B 4 5 6 7 8 9 10 C 11 12 13 14 15 16 17 18

D Radiation Monitoring Instruments 19 Operational Quantities for Radiation Monitoring 20 Area Survey Meters 21 Individual Monitoring 22 Xray beams and Xray Units 23 Gamma ray beams and gamma ray units 24 Particle accelerators 25 Linacs 26 Radiotherapy with Protons, Neutrons, and Heavy Ions 27 Shielding Considerations

Re

28 29 30 E 31 32 33 34 35 36 37 38 39 40 41 42 43 44 F 45 46 47 48 49 50

C0-60 Teletherapy units versus Linacs Simulators and Computer Tomography Simulators Training requirements External Photon Beams, Physical Aspects Quantities used in describing a photon beam Photon Beam sources Inverse Square Law Penetration of Photon Beams into a Phantom or Patient Radiation Treatment Parameters Central Axis Depth Doses in Water: Source to Surface distance Set-up Off axis ratios and Beam Profiles Isodose Distributions in Water Phantoms Single field Isodose distributions in Patients Clarkson segmental integration Relative Dose measurements with Ionization Chambers Delivery of Dose with a single External Beam Example of Dose Calculation Shuttter correction time Clinical Treatment Planning in External Photon Beam Radiotherapy Volume Definition, ICRU 50 Dose Specification Patient Data Acquisition and Simulation Clinical Considerations for Photon Beams Treatment Plan Evaluation Treatment Time and Monitor Unit Calculations

G Electron Beams: Physical and Clinical Aspects 51 Central Axis Depth Dose Distributions in water 52 Dosimetric parameters of Electron beams 53 Clinical Consideration in Electron Beam therapy H Calibration of Photon and Electron Beams 54 Ionization Chamber Based Dosimetry Systems 55 Chamber signal correction for influence quantities 56 Determination of absorbed dose using calibrated ionization chambers 57 Stopping power ratios 58 Mass-energy absorption coefficient ratios perturbation correction factors 59 Beam quality specification 60 Calibration of Megavoltage Photon and Electron Beams: Practical Aspects 61 Kilovoltage Dosimetry 62 Error and uncertainty analysis for ionization chamber measurements I
Acceptance Testing and Commissioning Measurements

63 64 65 66 J 67 68 69 70 71 K 72 73 74 75 L 76 77 78 79 80 81 82 83 84

Measurement Equipment Acceptance Tests Commissioning Time required for Commissioning Computerized Treatment Planning Systems for External Photon Beam Radiotherapy System Hardware System Software and Calculation Algorithms Data Acquisition and Entry Commissioning and Quality Assurance Special Considerations Quality Assurance of External Beam Radiotherapy Managing a Quality Assurance Program Quality Assurance Program for Equipment TG 142 Treatment Delivery Quality Audit Brachytherapy: Physical and clinical Aspects Photon Source characteristics Clinical Use and Dosimetry Systems Dose Specification and Reporting Dose Distributions around Sources Dose Calculation Procedures Commissioning of Brachytherapy Computer Treatment Planning Systems Source Commissioning Quality Assurance Brachytherapy versus External Beam Radiotherapy

M Basic Radiobiology 85 Classifications of Radiations in Radiobiology 86 Cell Cycle and Cell Death 87 Irradiation of Cells 88 Type of Radiation Damage 89 Cell Survival Curves 90 Dose Response Curves 91 Measurement of Radiation Damage in Tissue 92 Normal and Tumor Cells: Therapeutic Ratio 93 Oxygen Effect 94 Relative Biological Effectiveness 95 Dose Rate and Fractionation 96 Radioprotectors and Radiosensitizers N Special Procedures and Techniques in Radiotherapy 97 Stereotactic Radiation

98 99 100 101 102 103 104 105 106 107

Total Body Irradiation Total Skin Electron Irradiation Intraoperative Radiotherapy Endocavity Rectal irradiation Conformal Radiotherapy Image Guided Radiotherapy Adaptive Radiotherapy Respiratory Gated Radiotherapy Positron Emission Tomography Image Fusion

O Radiation Protection and Safety in Radiotherapy 108 Radiation Effects 109 International Consensus and Radiation Safety Standards 110 Types of Radiation exposure 111 Quantities and Units used in Radiation Protection 112 Basic Framework of Radiation Protection 113 Governmental Regulation & National Infrastructure 114 Scope of the Basic Safety Standards 115 Responsibilities for Implementation of Basic Safety Standards Requirements 116 Safety in the Design of Radiation Sources and Equipment 117 Safety Associated with Acceptance Tests, Commissioning and Operation 118 Security of Sources 119 Occupational Exposure 120 Medical Exposure 121 Public Exposure 122 Potential Exposure and Emergency Plans 123 General Shielding Calculations 124 Typical Linac Installation 125 Shielding Design for Brachytherapy Facilities