medical physics before the millennium a personal experience franca t. kuchnir, phd, faapm associate...

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Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department of Radiation and Cellular Oncology April 27, 2013

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Page 1: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Medical Physics before the MillenniumA Personal Experience

Franca T. Kuchnir, PhD, FAAPMAssociate Professor EmeritaThe University of Chicago

Department of

Radiation and Cellular Oncology

April 27, 2013

Page 2: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Sealed glass Radon applicators

Page 3: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

1951 1953

Argonne Cancer Research Hospital (ACRH)

(Attached to Billings Hospital)

Page 4: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Dr. Kerst with the 2.5 and 22 MeV betatrons(at the University of Illinois)

Page 5: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department
Page 6: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Kerst and Skaggs with the doughnut.Skaggs points at the electron beam exit port.

Med. Phys. 2, p297,1975

Page 7: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

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22-MV beam characteristics

Am. J. Roegenology, Radium Ther. v.60 p.153, 1948

Page 8: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

22-MV beam9cm dia. at 75 cm

Isodose Distributions

Am. J. Roegenology, Radium Ther. v.60 p.153, 1948

Page 9: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

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Page 10: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

2,000-Ci Isocentric Co-60 unit, SAD = 80cm.

Lanzl, Skaggs, Machinist Dr Carpenter, Therapist, Patient, Lanzl

Page 11: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

2,000-Ci Co-60 unit

Lanzl Co-60 unit Controls and Lead Glass Observation Windowand dose plotting device

Page 12: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

2-MV Van de Graaff

Patient set up

Controls and Lead Glass Viewing Window

Page 13: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

TextDr. Henry Kaplan showing the insides of the 6-MeV lineac developed to treat cancer

The first patient treated with electrons for retinoblastoma in 1957

Stanford University’s First Medical Lineac

Page 14: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

5-50 MV Lineac Power Vault

Page 15: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

5-50 MV Lineac Gantry beam transport

Page 16: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

5-50 MeV Lineac rotating and scanning gantry

Page 17: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Routine operation of the Lineac required both a physics and a therapy technician.

Skaggs at the Lineac controls Therapist, Dr. Mel Griem, Physics Tech.

Page 18: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Measurements for treatment planning

Page 19: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

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Fletcher’s Textbook of Radiotherapy

2D Isodose Hand Calculation

Page 20: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

2D Compensator

Fletcher’s Textbook of Radiotherapy

Page 21: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

vvv

Eric J. Hall’s textbook “Radiobiology for the Radiologist”

Relative Biologic Effectiveness

RBE = 4 Oxygen Enhacement Ratio

Page 22: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

vvv

Neutrons time of flight spectra

Page 23: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

ACRH neutron facility floor plan

Radiology, v.111, p.471, 1974

Page 24: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Neutron energy spectra

Page 25: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

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Deuterium gas target and cooling system

Page 26: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Fermilab Neutron Therapy Facility

Page 27: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

Oxygen Enhancement Ratio

Relative Biological Effectiveness

Radiobiology for the Radiologist by Eric J. Hall

Page 28: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

vvv

Page 29: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

vvv

Neutrons difference spectra

Phys. Med. Biol. v. 24, p. 721, 1979

Page 30: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

vvv

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Phys. Med. Biol. v. 24, p. 721, 1979

Page 31: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

vvv

Solutions for k(E)

Phys. Med. Biol. v. 24, p. 721, 1979

Page 32: Medical Physics before the Millennium A Personal Experience Franca T. Kuchnir, PhD, FAAPM Associate Professor Emerita The University of Chicago Department

“They shall beat their swords into plowshares.”

(Isaiah 2:4, Joel 3:10, Micah 4:3)