Therapeutic Radiographer case studies
Therapeutic Radiographer · Put your knowledge to work in context.
The Therapeutic Radiographer certification examination assesses whether a candidate can safely and competently deliver prescribed radiation therapy. It is intended for radiation therapy technologists, therapeutic radiographers, and final-year students preparing to enter clinical practice, as well as internationally trained practitioners seeking to demonstrate entry-level competence. The Therapeutic Radiographer case studies are 5 cases and about 4,256 words.
1Output and Energy Shift After Magnetron Replacement
A 6 MV photon beam on a Clinac iX is used for approximately 45 patients daily. Following magnetron replacement and re-tuning by the service engineer, the medical physics team performs monthly QA.
941 words, about 5 min2Pregnant Radiographer: Fetal Dose and Reasonable Adjustments
A 32-year-old therapeutic radiographer at a busy cancer centre tells her line manager she is 8 weeks pregnant. She works a mixed role: two days on a 6 MV/10 MV linac treating up to 22 patients per day (including IMRT, VMAT and SBRT), one day in CT simulation, and one day in the planning dosimetry office.
869 words, about 4 min3Moist Desquamation in the Inframammary Fold During Breast Radiotherapy
Mrs A, 58, is receiving adjuvant radiotherapy to the left breast after breast-conserving surgery and sentinel node biopsy. She is prescribed 40 Gy in 15 fractions over 3 weeks to the whole breast plus a sequential boost of 10 Gy in 5 fractions to the tumour bed, using a 3D conformal technique with a 5 mm bolus for the first 10 fractions.
770 words, about 4 min4Reirradiation of Recurrent Nasopharyngeal Carcinoma Near the Spinal Cord
Mr B, 61, presents with a third recurrence of nasopharyngeal carcinoma 34 months after primary chemoradiotherapy. His original plan delivered 70 Gy in 35 fractions to PTV70 with a simultaneous integrated boost: PTV70 received 70 Gy, PTV63 received 63 Gy and PTV56 received 56 Gy.
901 words, about 5 min5Adaptive Replanning During Head and Neck VMAT After Weight Loss
A 64-year-old man with T3N2M0 oropharyngeal squamous cell carcinoma is receiving definitive VMAT, 65 Gy in 30 fractions to PTV65 and 54 Gy to PTV54, with weekly cisplatin. At fraction 20, his weight has fallen from 82 kg to 75 kg.
775 words, about 4 min