past papers

Question 1

Name the process by which Kv X-ray photons are produced

Answer 1

Bremstrahlung

Question 2

Give a brief description of the bremstrahlung process, mentioning an important property of the target material used in the process

Answer 2

Electrons are decelerated in the influence of the coulomb field of the nucleus. Breaking radiation. The electron loses energy and this is transferred to the photon. The target has a high Z value.

Question 3

Charged and uncharged particles interact in different ways with tissue: mention 3 important general characteristics of each particle type

Answer 3

Uncharged particles (photons and neutrons) rarely interact with matter. They display exponential attenuation: a fraction of the incident particles interact with the material, being traversed and lost from the beam.

During interactions, charged particles are set in motion (electrons), which themselves cause ionization.

Charget particles undergo many interactions with matter. The continuously lose small amounts of energy at each interaction. They have a well-defined range, which no particles can travel beyond.

Question 4

What reference is used to measure beam quality at ortho voltage energies? Name two materials used to do this

Answer 4

Half Value Layer (thickness) HVL - aluminium and copper used.

Question 5

Explain why the attenuation factor of any pair of detectors in PET scanner is independant of the position of the source along the line joining the detectors.

Answer 5

The total attenuation factor for the line of response is given by AF1 x AF2. e(^-ux)x e^u(a-x) = e(-ua).

i.e. if the annihilation event takes place towards one side of the obect. The distance x between it and the closest surface is not relevent to the total attenuation for that line of response.

Question 6

Describe the process by which a CT scan can be used to correct for the effect of attenuation in a PET image.

Answer 6

A CT scan acquired just before or after PET scan. CT is a map of density and therefore attenuation within a patient.

Bi-linear scaling is applied to the CT pixel values to account for the energy dependance of the attenuation (CT photons vs 511keV photons) to give an attenuation map which is incorperated into the PET reconstruction.

Question 7

What causes the partial volume effect in a PET image? In what way does this effect the image

Answer 7

PVE, is caused by the finite spatial resolution of the scanner. It causes blurring that results in a reduction in apparent activities from hot objects that are smaller than twoce the spatial resolution of the image

Question 8

IN MRI where do you experience the largest
1. translational force
2. Torque

Answer 8

1. Edge of the bore. The product of the field strength and spatial gradient is greatest.
2. In the centre of the bore, where field strength is greatest.

Question 9

Why and in what circumstances might the control of noise at work regulations 2005 be of interest to a MRI physicist?

Answer 9

Gradient coils of MRI vibrate due to Lorentz forces and so generate a loud noise. If staff are inside the room during imaging they will be experienced to a noise loud enough to exceed the aloud threshold.

These activities would require a ris assessment and staff would be advised to wear hearing protection.

Question 10

MR safety.
1. what are current loops?
2. Why do they present a hazard?
3. How do you minimise them from ocurring?

Answer 10

1. RF field generate a loop of current in the body.
2. Low magnitude currents - can receive burns to two parts of the body
3. When the patient is being positioned on the scanner, avoid points of contact by using foam pads to seperate areas of the body from touching themselves or the scanner bore.

Question 11

Name the different weighting factors required to convert absorbed dose into effective dose

Answer 11

Radiation weighting factor (Wr) and tissue weighting factor (Wt).

Question 12

Describe 3 different possible outcomes after a cell is exposed to radiation. What type of damage does each outcome cause?

Answer 12

• No damage / cell repaird
• Cell death - Fatally damaged and cannot repair
• Mutation - Partially damaged, mutation occurs which may lead to cancer.

Cell death leads to deterministic effects e.g. skin erythema, wheras mutations can lead to stochastic effect e.g. cancer

Question 13

Define lifetime additional risk of harm following a radiation exposure and state how this changes with age. and why?

Answer 13

Lifetime additional risk takes into account fatal and non-fatal cancers and heritable effects, and is weighted by life and lost severity. Lifetime additional risk is highest in children and decreases with age. This is because children’s cells are dividing more/more quickly, and because children are most likely to live long enough to survive the latency period for effects to take place.

Question 14

What is the current average risk of lifetime additional harm ?

Answer 14

5% per Sv.

Question 15

Why is it beneficial for an X-ray beam to be filtered?

Answer 15

Filtered means hardened because the lower energy X-rays have been removed. These energies would otherwise be absorbed by the patient therefore not contributing to the image but contributing heavily to the absorbed dose.

Question 16

HVL is measure to be 1cm. QVL is to be done which is it likely to be
1. 2cm
2. <2cm
3. >2cm

Answer 16

> 2cm. HVL filtration hardens the beam increasing the average energy. therefore a greater thickness would be required to reduce beam intensity by another 50%.

Question 17

Describe the process of annihilation

Answer 17

1. Proton-rich nucleus in the radiopharmaceutical decays and emits a positron
2. Positron travels a short distance
3. Positron annihilates with an electron and two collinear 51kEv photons are emitted.
4. Gamma photons exit the body with an electron and are detected in the PET ring.

Question 18

Explain 3 physical processes that affect spatial resolution on a PET scanner.

Answer 18

1. Positron range
2. Acollinearity of the annihilation gammas
3. Physical dimensions of the detector ring

Question 19

How will TOF info improve SNR for PET

Answer 19

TOF is where the small difference in arrival time of collinear photons is measured. This helps to provide information about the distance each annihilation photon travelled to reach their responective detectors.

This helps to localise where along the line of response the event took place, thus reducing noise.

Question 20

What property of PET crystals is essential for TOF imaging

Answer 20

Good temporal resolution / short decay time.

Question 21

To what extent will the affects associated with
1. static mag field
2. switched field gradients
3. RF field

Affect the development of high field MRI. How might they be mitigated?

Answer 21

1. -Increased projectile ris. –Magnetohaemodynamic effect of reducing blood flow / increasing blood pressure becomes significant at 10T.
   - Some unknown effects including long term adverse effects.
   - No real mitigation possible
2. Limitation of gradient performance to reduce impact of PNS. but this is not directly related to field strength.
3. RF heating increases as the square of the static field strength, all else being equal. Mitigation includes using less RF-intensive sequences, using local transmit coils.
   - Mitigated through RF shimming and parallel imaging.

Question 22

Outline the decay mode of a radionuclide and how it is related to the moethod used for its production.

Answer 22

Radionuclides produced in a cyclotron tend to decay by B+ emission as the targets are bombarded with positively charged particles so the products have excess protons. e.g. 18O+1H = 18F+1n.

Radionuclides produced in a reactor tend to decay by B- emission because products of neutron activation and fission products have an excess of neutrons e.g. U235 + 1n = 137Cs+99Mo.

Question 23

What does the line integral represent in
1. CT
2. PET

reconstruction

Answer 23

1. In CT line integral represents the total attenuation of the X-ray beam as it travels through the scanned object.
2. In PET it represents the sum of the radioactivity along the line of response.

Question 24

Excessive blurring is usually observed in images resconstructed with simple back projection.
1. How does deconvolution
2. FBP

methods attempt to eliminate blurring

Answer 24

Blurring is assumed to be described by the 1/r function with r = disatance from the centre of the object of interest.

1. Back-projected image can be described as the convolution of the original image with the blurring function 1/r. By deconvolving the blurred image, the de-blurred image is recovered.
2. A high-pass filter (usually a ramp) is applied on the projection data in order to remove the low frequencies that correspond to background noise before back-projecting the data.

Question 25

What is the system matrix?

Answer 25

System matrix describes the relationship between image space and projection space and it can be applied on the data to move them from one space to the other.

Question 26

List 4 factors that could be included in the estimation of the system matrix

Answer 26

Objection motion positron range TOF attenuation detector non-uniformaties scatter detector response models

Question 27

Name and describe the most popular algorithm used in iterative reconstruction

Answer 27

Maximum likelihood expectation maximisation algorithm (MLEM). The algorithm makes use of the fact that measured photons follow a Poisson distribution and Bayes' rule. It tries to maximise the probability of observing certain counts given an already known distribution (Poisson) or the reverse

Question 28

What are the main disadvantages of Thermoluminescent TLD dosimeters vs film doseimeters

Answer 28

Storage instability Readout destroys signal Fading Light sensitivity Can't identify type of radiation Can't identify gross non-uniformaties. e.g. one large exposure.

Question 29

Briefly describe how a DAP meter works

Answer 29

An ionisation chamber. With Incident photons interact within the gas filled chamber creating positive ions that are attracted towards the cathode. The created charge is proportional to the ionisation that has occured, as ionisation chamber 200-400V. DAP, is the dose multiplied by the exposed area.

Question 30

Give 3 differences between narrow and broad beam conditions setup or properties

Answer 30

- in narrow beam, the beam is highly collimated prior to the attenuator. This results in the beam remaining concentrated over longer distances providing higher spatial resolution. Broad beam - has little or no collimation at this point. allowing the beam to cover a much larger area. 2. Intensity and Dose distribution - X-ray beam is concentrated over a smaller area focussing the beams energy and depositing a higher dose. This can enhance image quality but may require more precise alignment and setup. Broad - Dose spread over a larger area resulting in more uniform dose distribution and lower peak intensity. 3. Scatter and image contrast - Narrow beam - less scattered radiation because there is less interaction with tissue. Results in higher image contrast and better image quality, because scattered photons reaching detector is reduced thus reducing noise. Broad - More scatter degrades contrast and image quality. Therefore requiring anti-scatter grids in front of the detector to maintain image quality.

Question 31

What two conditions are required for Fanos theory to apply to a measuring device?

Answer 31

1. Cavity is homogeneous 2. The cavity is of the same elemental composition

Question 32

Define collisional and radiative stopping power

Answer 32

Collisional - Stopping power due to the inelastic colisions with atomic electrons of the medium resulting in excitation and ionisations. Radiative - Stopping power due to electron interactions with the electric field of the nucleus in the production of bremstrahlung.

Question 33

Why is radiative stopping power negligable for protons but significant for electrons

Answer 33

Because radiative stopping power is inversely proportional to the square of the mass of the particle. Protons habe a much higher mass and therefore radiative stopping power is less significant when compared to electrons.

Question 34

Collisional stopping depends on what?

Answer 34

Not the mass but the charge of the particle. Rate of energy loss is proportional to the square of the charge on the ion. Rate of energy loss is inversely proportional to the square of the velocity.

Question 35

Describe radiative and collisional stopping power

Question 36

Why does a bragg peak occur

Answer 36

As heavy ion slows down it's rate of energy loss increases leading to more absorbed dose in the medium. depositing more energy, this occurs exponentially until a peak at which point all the energy is deposited.

Question 37

Why does electron depth dose curve not exhibit a bragg peak

Answer 37

Each electron will exhibit a braag peak. But at each interaction scatter will occur. This acts to smooth out the energy deposition. Scattering occurs due to small mass. Bragg peak is smeared.

Question 38

What is meant by list mode. state one advantage and one disadvantage

Answer 38

- is where events are tagged sequentially and seperated by timing tags. It stores all acquisition data such as detector position, photon energy, distance from COR. - advantage, sinograms can be generated from it, allowing different reconstructions to be done. - Disadvantage, it uses a large amount of storage space.

Question 39

Briefly describe how FBP works

Answer 39

Each projection angle is distributed evenly across the FOV for every angle in the acquisition. The data is filtered prior to this step. Apply a high pass ramp filter, this sharpens the image by removing low frequencies

Question 40

What do elements in the columns and rows mean in a system matrix?

Answer 40

Columns: Represent sinograms, corresponding to every possible point source. Rows: The probability that an emission from a pixel gives rise to a detection in a given sinogram element.

Question 41

In medical applications what are the 3 main mechanisms by which energy is removed from a radiation photon beam as it passes through tissue for energies between 0.01 and 10MeV

Answer 41

1. Compton scatter - X-ray photon collides with an outer shell electron. causing it to be ejected from the atom, the photon continues in a different trajectory 2. Photoelectric effect - Photon is completely absorbed causing ejection of a tightly bound electron. 3. Pair production - High energy photon >1.022MeV interacts with the electric field of a nucleus and transforms into an electron-positiron pair. Only occurs in the nucleus due to the conservation of momentum.

Question 42

Which interaction is most relevent to radiotherapy

Answer 42

compton scatter

Question 43

What implications does compton scatter have for imaging, treatment and dose calculation in radiotherapy?

Answer 43

Imaging - Effects image contrast by creating noise in the image.

Question 44

What us the equations to calculate mass attenuation coefficient. include units

Answer 44

um (cm2/g) = u / p

Question 45

What are the two main issues with a GM counter

Answer 45

Dead time - After an avalanche the voltage accross the unit must recover, this means there is a waiting time during which any interaction with the tube will not be recorded. This can lead to it becoming paralyzed. Cannot give pulse height data - Meaning cannot identify the energy of the radiation being monitored.

Question 46

Name the interaction type that occurs between the incident electron and a k-shell electron

Answer 46

photoelectric affect

Question 47

Describe two other types of photon interaction

Answer 47

Rayleigh scatter - A coherent scatter. photon is scattered without losing energy. More likely as energy decreases and increasing atomic number. Photonuclear reactions - Photon interacts with nucleus of an atom which emits energy usually in the form of neutrons or protons.

Question 48

A trolley is built from plastic with some metal componenants what MR safety rating would you give it?

Question 49

Summerise the effects of the static field in MRI

Answer 49

Sensory affects Cardiovascular effects become more significant at higher strengths Unknown effects of cognitive and neurobehavioural effects Epidemiological studies to look at long-term effects

Question 50

Summerise the main effects of gradient fields hazards

Answer 50

Direct effects - peripheral nerve stimulation, ventricular fibrilation (although PNS would be intollerable by this point) Indirect - Acoustic noise, can be minimised with sequence choice. e.g.

Question 51

Summerize RF hazards

Answer 51

Direct effects - Tissue heating Indirect - Induction of currents in wires causing other heating within the patient

Question 52

Describe the fourier slice theorum and how it could be utilised in the context of image reconstruction. What are some of the pros and cons

Answer 52

Obtain 1D projections = sinogram fourier transform each to produce 1-D datasets Use results to fil in a 2-D fourier space Convert to a cartesian grid Apply an inverse 2-D fourier transform to produce the image. This can be utilised to reconstruct the cross-sectional images from x-ray projections. pros - robust to noise cons- streak artefacts occur due to undersampling

Question 53

Describe the type of target material of the orthovoltage unit and charged particle interaction processes that occur within it

Answer 53

- High Z atomic number material like tungston. Because it produces a high intensity bremsstrahlung radiation. - Brem production, high energy electrons are decelerated by the atomic nuclei in the target material resulting in the emission - Photon absorption and scattering - Produced photons will undergo this as they move through the material. - Pair production - High energy photons can interact with atomic nuclei to produce electron - electron pairs. These interactions contribute to the production of the theraputic radiation beam used in orthovoltage therapy.

Question 54

Compare the charged particle interactions that occurr between a 6MeV electron and 25MeV proton beam

Answer 54

Electron beams primarily interact with matter through brem radiation and collisional ionisation. while proton beams interact mainly through Coulomb interactions. The differences arise primarily through the distinct mass, charge and energy loss mechanisms of electrons and protons. Leading to variations in their stopping power, range and dose distribution in the medium.

Question 55

Discus the basic properties of scintillation detectors. Include a basic description of the two effects phosphorescence and fluresence. Explain the function of a photomultiplier.

Question 56

What are the basic tests of a gamma camera

Answer 56

uniformity, resolution (spatial and energy), linearity (spatial distortion) sensitivity (efficiency) count rate performance

Question 57

In a gamma cameras what are spatial non-linearities caused by. How is it tested

Answer 57

The structured pattern of the PMts giving a non-uniform response to the scintillation light for different positions of events. Causes a local count compression near the centre of the PMts. Digital linearity corrections available on modern cameras. Assessed through observing the straightness of a line source for distortion.