Nuclear Instrumentation: PHYS 561 Spring 2015 Schedule Number 22520 COURSE INFORMATION Class Days: Mondays and Wednesdays Class Times: Lecture 2:00-4:50 pm, Lab: 3:00-5:40 pm Class Location: P-245 Professor: M. Tambasco, Ph.D., MCCPM Contact Information: mtambasco@mail.sdsu.edu Office Hours Days: Tuesday and Thursday Office Hours Times (and by appointment): 3:15-4:30 Office Hours Location: P-139 Course Overview Description from the Official Course Catalog: Radiation detection, measurement and spectroscopy. Ionization chambers, GM and proportional counters, scintillation and semiconductor detectors, and thermoluminescent dosimetry. Description of the Purpose and Course Content: This course covers introductory fundamental and practical concepts in radiation treatment planning. The course will consist of lectures, labs, and observation. The purpose will be to give students introductory knowledge and hands on experience in clinical treatment planning for external beam radiotherapy. Students are expected to know basic anatomy. It is strongly advised that students take an anatomy course before taking this course. The following topics will be covered. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Introduction: Process, Equipment, and Personnel Volume Definition (GTV, CTV, and PTV) Radiation dose Specification Patient Positioning and Immobilization Patient Data Acquisition and Simulation Treatment Planning Algorithms Clinical Considerations for Photon Beams Treatment Plan Evaluation Treatment Time and Monitor Unit Calculations Organs at Risk & Normal Tissue Tolerances Wedges, Bolus, and Compensators Contour Effects Inhomogeneity Effects Beam Combinations and Clinical Applications Pacemakers & Defibrillators (Lecture/Lab) Prostate Cancer and Treatment Planning (Lecture/Lab) Breast Cancer and Treatment Planning (Lecture/Lab) Lung Cancer and Treatment Planning (Lecture/Lab) Head & Neck Cancers and Treatment Planning (Lecture/Lab) Student Learning Outcomes: Upon completion of this course the student will know the following for various tumor sites: 1. The indication for external photon beam radiation therapy. 2. Intent of the radiotherapy for and associated dose and fractionation schemes. 3. Immobilization and simulation. 4. Isocenter and ICRU reference point meanings and locations. 5. GTV, CTV, and PTV. 6. The effects of window and level on visualizing the CT scan for contouring the target. 7. Organs at risk, their TD 5/5 values for various endpoints. 8. Contouring organs at risk and using Boolean operators to define structures of interest. 9. Typical doses and fractionation schemes. 10. 11. 12. 13. 14. Beam energy and beam arrangements. Monitor unit (MU) calculation. Evaluating a treatment plan using the isodose curves, the dose volume histogram, and dose statistics. Relevant physics issues. How to construct basic treatment plans using the Eclipse™ treatment planning system. Real Life Relevance: Radiation therapy is one of the main modes of cancer treatment, and each patient undergoing radiation therapy must have a treatment plan created for the treatment. Learning the physics, hands on application, and problem solving in radiation treatment planning gives this course real life relevance in helping to treat and cure patients with cancer. Relation to Other Courses: This course should be taken concurrently or after Radiation Therapy Physics (PHYS 670A) and an anatomy course. It is a core requirement for the CAMPEP Accredited M.S. Medical Physics Graduate Program for students in the Radiation Therapy specialty, and complements other courses in the program that relate to the application of radiation to cancer treatment and imaging. Enrollment Information Prerequisites: Concurrent registration in Radiation Therapy Physics (PHYS 670A), and a concurrent or previous course in anatomy, or consent from the instructor. Adding/Dropping Procedures: The course must be added before the end of the second week of the semester. Dropping procedures will follow the Physics Department guidelines. Course Materials Required Materials: Chapter 7 from: “Radiation Oncology Physics: a handbook for teachers and students”, E.B. Podgorsak and G.H. Hartmann, IAEA Publication. PDF available for free download at: http://www-pub.iaea.org/MTCD/publications/PDF/Pub1196_web.pdf PDF versions of the PowerPoint lectures presented in class will be made available to the students on Blackboard. Recommended Materials: F. Khan and B. J. Gerbi, “Treatment Planning in Radiation Oncology,” 2011, 3rd Edition. A. Barrett, J. Dobbs, S. Morris, T. Roques, “Practical Radiotherapy Planning,” 2009, 4th Edition. F.M. Khan, “The Physics of Radiation Therapy,” 2010, 4th Edition. J.T. Bushberg, “The Essential Physics of Medical Imaging,” 2002, 2nd Edition. Lectures: Course Structure and Conduct Style of the Course: The classes will take the form of lectures, labs and discussion of the material with the focus on understanding. Students are expected to have reviewed all material before class and be capable of answering questions in class. Technology Utilized in the Course: Blackboard Course Assessment and Grading Approximate Due Dates for Final Exam: Laboratory assignments: One due every month Final Exam: 1st or 2rd week of May Scored activities and weighting by percentage of total score: Attendance and Participation: 10% Laboratory assignments: 50% Final Examination: 40% Grading Scale: Students will be evaluated based on attendance and participation (10%), midterm (40%) and final examination (50%). The following grading scheme will be used: A AB+ B BC+ C CD+ D D- 90 – 100% 80 – 89% 76 – 79% 74 – 75% 70 – 73% 66 – 69% 64 – 65% 60 – 63% 56 – 59% 54 – 55% 50 – 53% Excused Absence Make-up Policies: Students should have an extraordinary reason (e.g., illness, death in the family, etc.), with proof, to miss a laboratory or final exam. A make-up for such a case will be arranged with the Professor. Other Course Policies Students are expected to attend and participate in all classes and laboratories, unless there is a valid reason to be absent. Assignments are due at the beginning of class on the due date. The use of electronic devices (e.g., cell phones, laptops, etc.) is not permitted during class time. If you are a student with a disability and believe you will need accommodations for this class, it is your responsibility to contact Student Disability Services at (619) 594-6473. To avoid any delay in the receipt of your accommodations, you should contact Student Disability Services as soon as possible. Please note that accommodations are not retroactive, and that I cannot provide accommodations based upon disability until I have received an accommodation letter from Student Disability Services. Your cooperation is appreciated.