10cm 1 10cm 1 10cm 1: Decreased FF Increased MU

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Factor Correction When you use the factor Effect on MU’s

Calculation / Ratio
Inverse Square Law When not treating at 100cm
SAD e.g. for fixed SSD
calculations

Field Factor Corrects dose rate when not Increased FS = Decreased MU


treating with 10x10cm field Decreased FS = Increased MU
Accounts for scatter from
collimator housing and 10cm2= 1
medium >10cm2 = >1
<10cm2 = <1

Percentage Depth Dose Used when not treating at d- Increased PDD = Decreased
max (for 100cm SSD) MU
Use Mayneord Factor when
not treating at 100cm SSD PDD increases with:
-Increased energy
-Increased SSD
-Increased FS
-Decreased Depth

Peak Scatter Factor Corrects patient scatter (FF) Increased Shielding =


when shielding is used Decreased PSF
NPSF = PSF is normalised to a  Decreased FF = Increased MU
reference field size
(10x10cm) for energies PSF increases with:
-Increased FS (less shielding)
>4MV -Decreased Energy

Tissue Maximum Ratio When using isocentric Increased TMR = Decreased


technique w/machine MU
calibrated at d-max
TMR increases with:
-Increased Energy
-Increased FS
-Decreased Depth

Never >1
Tissue Phantom Ratio When using isocentric Increased TPR = Decreased
technique with machine MU
calibrated at reference
depth TPR increases with:
-Increased Energy
-Increased FS
-Decreased Depth below Ref. Depth

Can be >1
Wedge Factor To account for the effect of Increased Wedge Angle =
transmission of the beam Decreased Wedge Factor =
through a dose modifying Increased MU
wedge

Tray Factor To account for the effect of Increased Tray Thickness =


transmission of the beam Decreased Tray Factor =
through a shadow tray Increased MU

Back Scatter Factor Used for photon beams


>400kV e.g. 133Cs and 60Co

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