ABPS Radiation Oncology study materials
ABPS Radiation Oncology study resources

ABPS Radiation Oncology: Radiation Physics and Dosimetry

ABPS Radiation Oncology · Work through your exam, one topic at a time.

All guide sections

Radiation Physics and Dosimetry

What to know

Photon interactions (photoelectric, Compton, pair production), inverse square law, attenuation, absorbed dose units, and dosimeter types. Also brachytherapy source physics (half-life, inverse square) and radioisotope properties.

Concepts to master

  • Photoelectric dominates at low energy/high Z; Compton dominates at megavoltage energies in tissue; pair production requires >1.022 MeV.
  • Inverse square law: dose ∝ 1/d². Doubling distance quarters dose.
  • Half-value layer (HVL) and attenuation: I = I₀e^(−μx).
  • Units: 1 Gy = 1 J/kg; 1 Sv for equivalent dose; 1 Ci = 3.7×10¹⁰ Bq.
  • Dosimeters: ionization chambers (reference), TLD (integrating), diodes (in vivo), film (2D).

Traps

  • Using inverse square across scatter-contaminated fields (fails near low-energy/large fields).
  • Confusing exposure (C/kg) with absorbed dose (Gy).
  • Mixing Bq (activity) with Gy (dose).

Rule of thumb

At megavoltage, Compton dominates in tissue - so dose per unit exposure is relatively Z-independent. At kV energies, photoelectric dominance makes bone absorb disproportionately.

Worked example

A source delivers 400 cGy at 50 cm. What at 100 cm (ignoring attenuation)? Dose ∝ 1/d². Distance doubles → dose quarters → 100 cGy at 100 cm.