PHYSICS 7551 - Radiotherapy Physics

North Terrace Campus - Semester 1 - 2018

Radiation therapy involves the therapeutic use of controlled doses of radiation for cancer treatment in hospitals. This reading-tutorial course consists of 24 modules covering various aspects of Radiotherapy Physics. The major topic areas include: Introduction and a Radiobiological Basis for Radiotherapy, Radiation Dosimetry, Dose Calibration Protocols, Equipment in Radiotherapy, Radiotherapy Prescription and Treatment Planning, Dose Calculation, Radiotherapy Treatment Techniques, Advanced Topics in Radiotherapy.

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Course Details

Course Code	PHYSICS 7551
Course	Radiotherapy Physics
Coordinating Unit	School of Physical Sciences
Term	Semester 1
Level	Postgraduate Coursework
Location/s	North Terrace Campus
Units	3
Contact	Up to 2 hours per week
Available for Study Abroad and Exchange	Y
Assumed Knowledge	PHYSICS 7011
Biennial Course	Offered in Even years
Assessment	Workshop preparation, assignments, exam

Course Staff

Course Coordinator: Dr Alexandre Santos

Course Timetable

The full timetable of all activities for this course can be accessed from .

Course Learning Outcomes

On completion of this course, students should be able to:

1	Describe the radiobiological basis for radiotherapy;
2	Explain the principles of radiotherapy equipment;
3	Define the characteristics of clinical beams and their measurement;
4	Describe how dose produced by radiation sources can be quantified by measurement if ionization charge;
5	Understand the principles of dose calculation;
6	Understand the need for and principles of quality control of equipment in radiotherapy;
7	Describe the use of sealed and unsealed sources in radiotherapy;
8	Discuss a range of radiotherapy treatment techniques;
9	Discuss sources of uncertainties and their potential impact in radiotherapy.

University Graduate Attributes

This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

University Graduate Attribute	Course Learning Outcome(s)
Deep discipline knowledge informed and infused by cutting edge research, scaffolded throughout their program of studies acquired from personal interaction with research active educators, from year 1 accredited or validated against national or international standards (for relevant programs)	1-9
Critical thinking and problem solving steeped in research methods and rigor based on empirical evidence and the scientific approach to knowledge development demonstrated through appropriate and relevant assessment	2,6,9
Teamwork and communication skills developed from, with, and via the SGDE honed through assessment and practice throughout the program of studies encouraged and valued in all aspects of learning	1-4,7-9
Career and leadership readiness technology savvy professional and, where relevant, fully accredited forward thinking and well informed tested and validated by work based experiences	3,6,8,9
Intercultural and ethical competency adept at operating in other cultures comfortable with different nationalities and social contexts able to determine and contribute to desirable social outcomes demonstrated by study abroad or with an understanding of indigenous knowledges	1,6,9
Self-awareness and emotional intelligence a capacity for self-reflection and a willingness to engage in self-appraisal open to objective and constructive feedback from supervisors and peers able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate	1-9

Learning Resources
Required Resources
- H. E. Johns and J. R. Cunningham, The Physics of Radiology, 4th edition, Thomas, Illinois, USA, 1983.
- F. Khan, Radiotherapy Physics, 4th edition, Lippincott Williams and Wilkins, Baltimore, Maryland, USA 2010.
- E. B. Podgorsak, (Editor), Radiation Oncology Physics: A Handbook for Teachers and Students, IAEA (2005).
Recommended Resources
- D. Greene and P.C. Williams, Linear Accelerators for Radiation Therapy, 2nd edition , IOP (1997).
- P. Hoskin and C. Coyle (ed), Radiotherapy in Practice: Brachytherapy, Oxford University Press, (2005).
- F.M. Khan and R.A. Potish, Treatment Planning in Radiation Oncology, Williams and Wilkins, (1998).
- P. Metclafe, T. Kron and P. Hoban, The Physics of Radiotherapy X-Rays from Linear Accelerators, Medical Physics Publishing, Madison (1997).
- J. van Dyk, The Modern Technology of Radiation Oncology – A Compendium for Medical Physicists and Radiation Oncologists, Medical Physics Publishing, (2005).
- S. Webb, The Physics of Conformal Radiotherapy – Advances in Technology, IoP Publishing, (1997).
- S Webb, The Physics of Three-Dimensional Radiation Therapy, IoP Publishing, (2001).
- J. R. Williams & D. I. Thwaites Radiotherapy Physics in Practice 2nd edition, Oxford University Press, (2000)
Online Learning
- Students are required to access reading material from MyUni throughout the semester.
- External students are required to attend workshops via audio-visual internet link.
Learning & Teaching Activities

Learning & Teaching Modes

Students are provided with reading material prior to a weekly 2 hour workshop. Students are expected to have completed the reading material and answered questions related to the reading material before each workshop. Students are also encouraged to provide feedback on difficult or interesting material. External students are able to connect to the workshop via Blackboard Collaborate. Workshops are designed to be interactive, so that challenging concepts can be discussed in a group setting.

Several practical exercises will be planned through the course. External students working in a radiotherapy department will be expected to perform the practicals under the supervision of an onsite supervisor. The practicals are not assessable, but are designed to give students practical experience in radiotherapy departments.

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

A student enrolled in a 3 unit course, such as this, should expect to spend, on average 12 hours per week on the studies required. This includes both the formal contact time required to the course (e.g., lectures and practicals), as well as non-contact time (e.g., reading and revision).

Learning Activities Summary

The course content will include the following:

1.    Introduction and Radiobiological Basis of Radiotherapy

2.    Review of Radiation Physics for Radiotherapy

3.    Dosimetric Quantities and Cavity Theory

4.    Calculation of Absorbed Dose from Measurements of Charge Using Calibrated Ionization Chambers

5.    Calibration Protocols

6.    Radiotherapy Treatment Machines I: X-ray tubes and Co-60 units

7.    Radiotherapy Treatment Machines II: Medical Electron Linear Accelerators

8.    Linac Acceptance Testing, Commissioning and QA

9.    Radiotherapy Treatment Simulation, Prescribing and Reporting

10. Simple Photon Treatment Planning Techniques

11. Computerised Photon Treatment Planning Systems and Commissioning

12. Photon Dose Calculation in Treatment Planning Systems

13. Treatment Plan Assessment and Biological Models in Radiotherapy Planning

14. Conventional Photon Treatment Techniques

15. Specialised Photon Treatment Techniques

16. Electron Planning and Treatment Techniques

17. Brachytherapy: Treatment Techniques and Devices

18. Brachytherapy: Source Calibration and Dose Calculation

19. Unsealed source therapy

20. Hadrontherapy

21. Image Guided Radiotherapy

22. Uncertainties in Radiotherapy and Treatment Delivery Verification

23. Clinical Trials in Radiotherapy

24. Review of Novel Radiotherapy Techniques

The University's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

Assessment Task	Type of assessment	Percentage of total assessment	Hurdle?	Approx Timing of assessment	Objectives being assesses/achieved
Workshop preparation	Formative and Summative	10%	No	Weeks 1-12	1 - 9
Assignments	Formative and Summative	40%	No	Weeks 3,6,9,12	1 - 9
Final Examination	Summative	50%	No		1 - 9

Assessment Detail

Workshop preparation
Workshops will be held weekly. Before each workshop, students work through the relevant course material, prepare answers to the embedded questions, and identify aspects which require further explanation. Grading of the short answer preparation work is based on the thought process demonstrated by the student, rather than the correctness of answers.

Assignments
The standard assessment consists of 4 assignments. Assignments consist of a combination of between 5 and 10 short answer and numerical questions. Each assignment is of equal weighting.

Final exam
One 3 hour exam is used to assess the understanding of and ability to use the material. The exam consists of a combination of short answer and numerical questions.

Submission

Extensions for Assessment Tasks
Extensions of deadlines for assessment tasks may be allowed for reasonable causes. Such situations would include compassionate and medical grounds of the severity that would justify the awarding of a replacement examination. Evidence for the grounds must be provided when an extension is requested. Students are required to apply for an extension to the Course Coordinator before the assessment task is due. Extensions will not be provided on the grounds of poor prioritising of time.
Penalty for Late Submission of Assessment Tasks
If an extension is not applied for, or not granted then a penalty for late submission will apply. A penalty of 10% of the value of the assignment for each calendar day that the assignment is late (i.e. weekends count as 2 days), up to a maximum of 50% of the available marks will be applied. This means that an assignment that is 5 days late or more without an approved extension can only receive a maximum of 50% of the marks available for that assignment.

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

M10 (Coursework Mark Scheme)
Grade	Mark	Description
FNS		Fail No Submission
F	1-49	Fail
P	50-64	Pass
C	65-74	Credit
D	75-84	Distinction
HD	85-100	High Distinction
CN		Continuing
NFE		No Formal Examination
RP		Result Pending

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Final results for this course will be made available through .

Student Feedback

The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student鈥檚 disciplinary procedures.

The 成人大片 is committed to regular reviews of the courses and programs it offers to students. The 成人大片 therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator

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