Medical Dosimetry and Usage of

Photon Beam Radiation

Sierra Lee

**Some Information in this presentation comes from outside sources**

Medical Dosimetry and Usage of Photon

Beam Radiation
Sierra Lee
Mentored by: Mrs. Dominique Roniger
MD Anderson Cancer Center
Taught by: Mrs. Kristi Click
Independent Study Mentorship Fall 2015

Selection of Topic
MD Anderson field trip
Enrollment in ISM

Focus on photon radiation

My Mentor
Dominique Roniger BS, CMD
2 years OTJ training with medical
physicist
Certification board exam in 1998
Radiation Oncology for over 30 years
MD Anderson for 16 years

Rangier, Dominique. "Medical Dosimetry." Personal interview. Oct. 2015.

About MD Anderson
World renown cancer facility

Four main areas of devotion

Three core values
In 2014 127,000+ treated

Research &Clinical trial

programs
Specializations

MD Anderson

"About Us." Facts and History. MD Anderson, Feb. 2015. Web. 10 Oct. 2015
Rangier, Dominique. "Medical Dosimetry." Personal interview. Oct. 2015.

https://www.surveymonkey.com/r/VM78FBD

MD Anderson Mission & Vision

Mission:
The mission of The University of Texas MD Anderson Cancer Center is to
eliminate cancer in Texas, the nation and the world through outstanding
programs that integrate patient care, research and prevention, and through
education for undergraduate and graduate students, trainees, professionals,
employees and the public.

Vision:
We shall be the premier cancer center in the world, based on the excellence
of our people, our research-driven patient care and out science. We are
Making Cancer History.

"About Us." Facts and History. MD Anderson, Feb. 2015. Web. 10 Oct. 2015.

Aerial & Map Views

MD Anderson

MD Anderson

Google Images

Independent Study Mentorship

(ISM)

Program at Clear Springs High School for students to explore their own
personal interests

Collegiate level course

Meets with mentor for two hours a week
Weekly projects and assignments

Build toward final presentation

Online portfolio: sierraleeism.weebly.com

Google Images

Treatment Process
Simulation
Doctors orders (RadOnc)

Contouring
Radiation is just one part

Purdy, James A. "Chapters 1-3." 3-D Conformal and Intensity Modulated

Radiation Therapy: Physics & Clinical Applications. Madison, WI: Advanced
Medical Pub., 2001. N. pag. Print.
Rangier, Dominique. "Medical Dosimetry." Personal interview. Oct. 2015.

What is Medical Dosimetry?

88% of people knew someone who had cancer and received radiation
92% hadnt heard of or didnt know what it was

Google Images

Medical Dosimetry
Member of Radiation Oncology team
Creation of cancer treatment plan using a specialized computer program.

Focuses on absorption and distribution of radiation.

Must qualify for and pass certification exam
Specific set of skills required

"American Association of Medical Dosimetrists (AAMD): General Information - What Is a Medical Dosimetrist?" American
Association of Medical Dosimetrists (AAMD): General Information - What Is a Medical Dosimetrist? N.p., 2015. Web. 30
Nov. 2015.

Rangier, Dominique. "Medical Dosimetry." Personal interview. Oct. 2015.

External Beam Therapy

Types of Radiation

"External Beam Radiation." External Beam Radiation. American Cancer Society, 2015. Web. 05 Nov. 2015.
Rangier, Dominique. "Medical Dosimetry." Personal interview. Oct. 2015.

Proton

Electron

Waiting on picture for comparison

Photon

Photon Radiation
3D
-Less treatment time (less cost)
-Forward planning
IMRT
-Dose into smaller beams
-Inverse planning
VMAT
-Delivers dose in one or more arcs

-Quick treatment

Purdy, James A. "Chapters 1-3." 3-D Conformal and Intensity Modulated

Radiation Therapy: Physics & Clinical Applications. Madison, WI: Advanced
Medical Pub., 2001. N. pag. Print.

-Inverse planning

Rangier, Dominique. "Medical Dosimetry." Personal interview. Oct. 2015

Prostate Case Example

Diagnosed with prostate specific antigen (PSA) blood test or prostate biopsy
Treatment options: surgery, radiation therapy, hormone therapy, vaccine
therapy and/or chemotherapy
Prognosis is almost 100% survival, unless distant
1 in 7 men will be diagnosed in their lifetime

Average age of patient is 66

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Prostate Cancer." Prostate Cancer. American Cancer Society, 2015. Web. 22 Oct. 2015.

Prostate Case Example

Patient is 65 year old male
Stage II prostate cancer

Mild urinary symptoms

Overall healthy & no family history of cancer

Google Images

MD Anderson

3D

IMRT

Waiting on picture for comparison

VMAT

My Product

Case Study (H&N/BOT)

"Oropharyngeal Cancer Treatment." National Cancer Institute. National

Cancer Institute, 25 Sept. 2015. Web. 30 Nov. 2015.
"Descriptive Epidemiology." Treatment. The Oral Cancer Foundation, Mar.
2014. Web. 30 Nov. 2015.
MD Anderson

In Conclusion
Medical dosimetrists are crucial members of radiation oncology team
Various types of radiation used in treatment

Examples of each were presented

94% of people say uncertainty about treatment has some effect on their
overall fear or negative feelings about cancer

Questions??

Thanks To:
Mrs. Dominique Roniger
Mrs. Kristi Click
Ms. Andrea Lee
Two Evaluators
Everyone else in attendance

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Works Cited
"About Us." Facts and History. MD Anderson, Feb. 2015. Web. 10 Oct. 2015.
Kelada, Olivia J. "Literature Review." Advantages and Disadvantages of
Charged Particle Therapy. Particle Therapy Cancer Research Institute, n.d.
Web. 10 Oct. 2015.
"External Beam Radiation." External Beam Radiation. American Cancer
Society, 2015. Web. 05 Nov. 2015.

Prostate Cancer." Prostate Cancer. American Cancer Society, 2015. Web.

22 Oct. 2015.
Purdy, James A. "Chapters 1-3." 3-D Conformal and Intensity Modulated
Radiation Therapy: Physics & Clinical Applications. Madison, WI: Advanced
Medical Pub., 2001. N. pag. Print.

Works Cited Cont.

Rangier, Dominique. "Medical Dosimetry." Personal interview. Oct. 2015.
"Oropharyngeal Cancer Treatment." National Cancer Institute. National
Cancer Institute, 25 Sept. 2015. Web. 30 Nov. 2015.
"Descriptive Epidemiology." Treatment. The Oral Cancer Foundation, Mar.
2014. Web. 30 Nov. 2015.
"American Association of Medical Dosimetrists (AAMD): General Information What Is a Medical Dosimetrist?" American Association of Medical Dosimetrists
(AAMD): General Information - What Is a Medical Dosimetrist? N.p., 2015.
Web. 30 Nov. 2015.