Practical Training 390-FM1-2PZ

Profile: Academic
Form: Stationary
Subject: Obligatory
Module: Practical and Specialist Education
Branch of science and scientific discipline: Physical Science; Medical Physics
Year/Semester: 2 year / 4th semester / first degree study
Prerequisites: Students Participating in Apprenticeships should have well-established knowledge in the application of physics in medicine and technology as well as the knowledge of radiological protection and computational methods acquired in previous learning modules.
The number of hours of classes: professional practice - 120 hrs.
Teaching methods: laboratory classes of 120 hrs to perform in teams of 2-3 people in the health care units.
ECTS credits: 4
The balance of student workload: 120 hours. participation in practices, the overall student workload to achieve the learning outcomes - 120 hrs;
Quantitative indicators: student workload - 90 hrs.

Issues taken on practices:
1. Organizational matters related to practical training in the hospital. The organizational structure of a hospital oncology in Bialystok. The role and tasks of the medical physicist. The history of radiation therapy in Bialystok Oncology Centre (BCO). Staying indoors the medical simulator. Familiarization with the work of pattern shop. Staying indoors therapeutic accelerator Elekta Precise during the technical review conducted by an authorized service engineer;
2. Methods of cancer treatments. The role of radiotherapy. Methods of radiation therapy: teleradiotherapy and brachytherapy. Radiotherapy techniques. Characteristics of radiation beams - a discussion of the basic dosimetric parameters measured by physicists in the water phantom;
3. The principles of radiation protection at workplaces in the Department of Medical Physics, Department of Radiotherapy and Nuclear Medicine Department. Participation in an interim review - weekly technical parameters and geometric cobalt Theratron 1000E;
4. Knowing the construction of the NEPTUNE 10P accelerator. Participation and physical help in the dismantling of NEPTUNE accelerator;
5. Characteristics of open radioactive sources used in isotope laboratory of second class - Tc99m, J-131, Sr-89, Sm-153, Ga-67. Principles of working with open radioactive sources; The room of applications of radiopharmaceuticals, radionuclide lab of II class, the construction of the molybdenum - technetium generator;
6. Assisting during scintigraphy for dual-head gamma camera-type SPECT. The calculation of the predicted activity eluted from the generator pertechnetate in the coming source "life" - days, under the given boundary conditions and characteristic of technetium constants;
7. The process of preparing a patient for radiotherapy, resimulation, assistance at simulator during the resimulation process. Assistance during the implementation of radiotherapy: putting the patient in a therapeutic position, take a photo of the portal, perform 3D imaging using the device XVI (IGRT imaging technique);
8. Become familiar with the computer system of treatment planning (TPS). DVH (dose volume histogram) as a basic tool for the evaluation made treatment plan generated by the TPS; DVH analysis of the cumulative and differential; Rating a treatment plan based on the DVH, being carried out to verify the treatment plan IMRT technique using a multimatrix - 2D;
9. The measurements of the dose distribution for a 2D matrix in the X-ray beam energy and X6MV X15MV. Comparison of the dose distributions from measurements and calculated by the treatment planning system. Analysis of the results using the gamma parameter;
10. The implementation of cobalt camera to clinical mode after installing or replacing source. Dosimetric measurements of relative and absolute terms, normalizing the measurements;
11. The irradiation techniques in the cobalt camera: SSD technique, isocentric technique. Calculation of exposure time depending on the method of specifying the dose;
12. Principles of radiotherapy planning, the course of treatment planning system by Oncentra Master Plan, a discussion of the dose-volume histogram, discussion of the characteristics of the accelerator beams in cancer therapy;
13. Brachytherapy as a method of radiation therapy using radioactive sources with small dimensions and high activity. Types of brachytherapy: LDR, MDR, HDR, PDR, visiting the studio of HDR, familiarization with the construction of the camera Microselectron. Discussion of the kind of applicators used in BCO. Discussion of procedures to prepare the patient for brachytherapy, imaging methods, the execution of a treatment plan, analysis of selected treatment plans in the OncentraBrachy system;
14. Discussion of the database schema and the organization of the results of checks carried out on the ELEKTRA 2 accelerator;