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Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology

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MOSAIQ <strong>Dosimetrist</strong>/<strong>Physicist</strong> <strong>Training</strong> <strong>Guide</strong> Module III<br />

Copyright 2009, IMPAC Medical Systems 104<br />

LTGRAD0005C/1.0/31-Mar-2009<br />

Appendix B Dose<br />

Calculation<br />

Cases can arise in which it is advantageous to track partial dose contribution to<br />

secondary dose sites. An example is dose to mid-axilla from a superclavicular field or<br />

total body treatment plans and off-axis treatment plans in which the dose site<br />

coefficients for the contributing fields may not be equal to 1. Refer to the dose<br />

calculations implemented in MOSAIQ below so that you can understand how Total<br />

Dose is determined.<br />

Definitions<br />

The definitions are used in the dose calculation are follows:<br />

Field Dose<br />

Coefficient (FDC)<br />

Dose Site<br />

Coefficient (DSC)<br />

Historical<br />

Treatment MU<br />

(TMU)<br />

Dose Site Dose<br />

(DSD)<br />

The field dose divided by the field MU. FDC is a calculated<br />

value and appears in the MU/Dose Specification dialog<br />

box, Dose/MU field.<br />

The coefficient that equals the dose delivered to the site<br />

from that field when multiplied by the dose contributed to<br />

the field. The DSC is defined in the Dose Site Coefficient<br />

dialog box, Coefficient field, when you complete dosimetry<br />

setup.<br />

The MU recorded for each treatment field or portal image<br />

exposure.<br />

The Dose delivered to a site per treatment as determined by<br />

the MU delivered multiplied by the FDC and DSC.<br />

Session A specific time period over which any delivered dose is<br />

combined into a single fraction, which is configurable.<br />

The above coefficients are saved to 3 decimal places.

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