Best Practices with Radiochromic Film: Question Set

1. Which of thefollowing is not a charge of AAPM TG-235, “Radiochromic Film Dosimetry: An Update to TG-55”?

(a) / To review the literature on RCF dosimetry in radiation therapy since TG-55
(b) / To assess the densitometers/scanners used for digitizing RCF since TG-55
(c) / To outline the procedures for accurate dosimetry and to evaluate measurement uncertainties
(d) / To highlight the advantages of RCF as compared to other types of dosimeters
(e) / To provide guidelines on RCF dosimetry for clinicalradiotherapy applications

Answer: d-To highlight the advantages of RCF as compared to other types of dosimeters

Ref: AAPM Task Group #235, “Radiochromic Film Dosimetry: An Update to TG-55”,

2. Which of the following statement on radiochromic film model is true?

(a) / RTQA2 is for IMRT dose QA
(b) / EBT2/3 is more sensitive to light than EBT film
(c) / XR-RV3 has the highest low energy response
(d) / XRQA2 has the highest low energy response
(e) / EBT-XD film covers a dose range up to 10Gy

Answer: d-XRQA2 has the highest low energy response

Ref: C. G. Soares, S. Trichter and S. Devic, “Radiochromic Film Dosimetry,” In: D. W. O. Rogers and J. Cygler, Eds., Clinical Dosimetry for Radiotherapy, Medical Physics Publishing, Madison, 2009, pp. 759-813.

3. Which is not a proper way to handle radiochromic film?

(a) Store film in an area of controlled humidity, dark environment

(b) Handle film with care, avoiding dust, fingerprints, or crimping

(c) Keep a consistent temp.~25-27oC for storage, irradiation, and scanning

(d) Identify film orientation and alignment and filmsconsistently

(e) Use the same film lot for both calibration and dose measurement

Answer: c-Keep a consistent temp.~25-27oC for storage, irradiation, and scanning

Ref: C. G. Soares, S. Trichter and S. Devic, “Radiochromic Film Dosimetry,” In: D. W. O. Rogers and J. Cygler, Eds., Clinical Dosimetry for Radiotherapy, Medical Physics Publishing, Madison, 2009, pp. 759-813.

Best Practices with Radiochromic Film: Question Set

4. Which is not true about multichannel film dosimetry as compared to single-channel dosimetry?

(a) / Better non-uniformity correction of radiochromic film
(b) / Rational functions for curve fitting of calibration data (dose vs. response)
(c) / Often use 3rd-4th order of polynomial fitting for calibration data
(d) / Correction for a variety of anomalies, artifacts, and other disturbances
(e) / Must use a specialized film digitizer/scanner with 48-bit RGB channels

Answer: c-Often use 3rd-4th order of polynomial fitting for calibration data

Ref: A. Micke, D. F. Lewis and X. Yu, “Multichannel Film Dosimetry with Nonuniformity Correction,” Med Phys, Vol. 38, No. 5, 2011, pp. 2523-2534.

5. Whichsource of doseerrorscan the “One-scan protocol” not eliminate?

(a) / Inter-scan variation
(b) / Effects of temperature and humidity conditions
(c) / Film lot difference
(d) / Different scanners and types
(e) / Post-exposure density growth

Answer: c-Film lot difference

Ref: D. Lewis, A. Micke, X. Yu and M. F. Chan, “An Efficient Protocol for Radiochromic Film Dosimetry Combining Calibration and Measurement in a Single Scan,” Med Phys, Vol. 39, No. 10, 2012, pp. 6339-6350.