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SFPM-EFOMP 12 June 2012
Medical PhysicistsImproving treatments, saving lives
The importance of physics, engineering and technology in healthcare
![Page 2: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/2.jpg)
SFPM-EFOMP 12 June 2012
Physiciens medicauxAmelioration des traitements,
sauvant des vies
L’importance de la physique, l’ingenieur et la technologie pour la santé
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SFPM-EFOMP 12 June 2012
Medical physicists working for radiotherapy
Les physiciens medicaux en radiothérapie
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Fitting an electron beam applicator to a linear accelerator
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 5: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/5.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Acceptance tests on a new linear accelerator
Vérification de la mise en service d’un nouveau accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Checking accelerator beam alignment
Vérification d’alignement du faisceau d’un accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Reference dosimetry measurements for treatment planning
Mesures des dose de référence qui entre dans la planification des traitements
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Precision dosimetry at the French national laboratory
Dosimétrie de précision au laboratoire national français
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Fitting an end-plate electron beam applicator to a linear accelerator for dose measurements in a water tank
Placement d’un plateau de l’applicateur des électrons pour l’accélérateur linéaire afin de mesurer les doses absorbées
dans une cuve rempli d’eau
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Setting up a water tank for reference dose measurements
Mise en place d’un cuve d’eau pour les mesures de dose de référence
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Making reference dose measurements for radiotherapy
Mesurant les doses de référence pour la radiothérapie
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Setting up a plastic « phantom » with a thimble chamber for reference dose measurements
Mise en place d’un bloc en plastique qui représente le corps humain avec une chambre en de pour les mesures
de référence
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Performing linear accelerator dosimetry
Faisant les mesures de doses dans le faisceau d’un accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Image-guided radiotherapy monitoring
Vérification de la radiothérapie guidéait par les images
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Checking treatment machine alignment
Vérification d’alignement de l’accélérateur avec l’iso centre
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Film dosimetry for treatment planning verification
Radiothérapie dosifilme pour la vérification du planification du traitement
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Testing respiratory-gated treatment using a patient model
Utilisation d’une maquette du patient pour tester l‘efficacité du traitement quand c’est lie avec la respiration
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Measurements for the UK National IMRT Audit
Des mesures faites pour l’audit national (GB) dans le domaine de la radiothérapie par modulation d’intensité
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Checking results and signing off linear accelerator QA in compliance with national QART requirements
Vérification des résultats d’assurance qualité pour l’accélérateur linéaire et signature en accord avec la procédure requise dans les audit nationaux QART
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Linear accelerator acceptance testing
Mesures afin de vérifier la mise en service d’un accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Treatment planning audit; comparison of calculated and measured doses
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Measurement of I-125 seeds for prostate brachytherapy
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Precision measurements for brachytherapy dosimetry
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Innovative radiosurgery
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Final checks on the fabrication of a stereotactic radiosurgery beam alignment phantom
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Linear accelerator first-line maintenance
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Acceptance testing of a new linear accelerator
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
International traceability for radiotherapy dosimetry
Placement de l’applicateur des électrons pour l’accélérateur linéaire
Switz
erla
nd
Hungary
France
Ger
man
y
Nether
lands
Italy UK
Austria
Russia
Canad
a
Japan
Austra
lia
Mex
ico
Spain
Czech
Rep
ublic
Latvi
a
Swed
en
Finla
nd
Norway
Slova
kia
IAEA
Gre
ece
Portugal
USA
Brazi
l
Argen
tina
-30
-20
-10
0
10
20
30
BIPM.RI(I)-K4, 2002 SIM.RI(I)-K4 and 2005 to 2008 EUROMET.RI(I)-K4
Degrees of equivalence for absorbed dose to water
DN
MI /
(m
Gy
/Gy
)
N.B. Black square indicates a result that is more than 10 years old
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SFPM-EFOMP 12 June 2012
Medical physicists working for diagnostic radiology
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Optimization of an automatic x-ray exposure device
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Image quality verification for an x–ray image intensifier
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
International traceability for mammography beam calibrations
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Verifying x-ray image quality
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Perfoming QA on dental radiology equipment
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Quality assurance checks for diagnostic x-ray unit
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Performing QA checks on an x-ray unit
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Image quality checks for CT using a patient-phantom
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Performing CT QA with a special patient phantom
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for interventional radiology
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Quality control for interventional radiology
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Image quality assessment of a C-arm x-ray image intensifer
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Calibrating primary reporting monitors to DICOM greyscale standard
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for nuclear medicine imaging
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Measurements of gamma camera resolution
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Patient in a dual-headed SPECT scanner
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
A combined PET-CT scanner
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
The clinical team
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Covers off the PET-CT scanner
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 49: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/49.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Cyclotron for producing PET radionuclides
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 50: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/50.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Inside the cyclotron that produces the short-lived PET radionuclides
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 51: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/51.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Preparing a radiopharmaceutical patient injection for nuclear medicine imaging
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 52: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/52.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Setting up a patient for the gamma camera
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 53: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/53.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Performing image quality tests on a gamma camera with CT attenuation correction
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 54: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/54.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Radiochemical preparation for imaging radiopharmaceuticals
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 55: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/55.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Analysing the PET and CT images
Placement de l’applicateur des électrons pour l’accélérateur linéaire
![Page 56: SFPM-EFOMP 12 June 2012 Medical Physicists Improving treatments, saving lives The importance of physics, engineering and technology in healthcare](https://reader038.vdocuments.site/reader038/viewer/2022103121/56649c625503460f9490e4c2/html5/thumbnails/56.jpg)
SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Quality assurance on a SPECT-CT scanner
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Monitoring image quality on a SPECT-CT scanner
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Quality assurance on a SPECT-CT scanner
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for nuclear medicine therapy
(molecular therapy)
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Checking for residual iodine activity prior to discharge
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Analysing quantitative nuclear medicine images
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Analysing quantitative nuclear medicine images
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for magnetic resonance imaging (MRI)
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Innovation – first magnetic resonance imaging system
Placement de l’applicateur des électrons pour l’accélérateur linéaire
Image courtesy of the University of Aberdeen
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Innovation – first MR image, through the liver showing multiple metastatic deposits in purple
Placement de l’applicateur des électrons pour l’accélérateur linéaire
Image courtesy of the University of Aberdeen
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Setting up a volunteer with a new RF-coil for an MRI scan
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
pMRI
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Checking that a fabricated MR phantom fits the coil
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Testing specialist MR Coils
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for ultrasound diagnostic imaging and
therapy
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Setting up for MR guided high-intensity ultrasound with temperature measurement control
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for ultraviolet therapy
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Dosimetry of a phototherapy UV cabin
Mesures de la dose provenant de la lumière UV dans une cabine photothérapeutique
Image courtesy of Dr Freeman (GSTT)
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Assessment of a UV unit spectrum
Mesures du spectre UV émis par la machine de traitement
Image courtesy of Dr Fedele(GSTT) Image courtesy of Dr Freeman (GSTT)
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SFPM-EFOMP 12 June 2012
Medical physicists working for laser applications
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Innovative retinal imaging using a laser
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Laser ophthalmoscope retinal image
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for clinical engineering
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Innovative haemodialyser for treating very small babies
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Innovation – mobility for a paraplegic child
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Innovation – realistic protheses that really work
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Light source output testing
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Repairing an incubator and monitor
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Demonstrating the Gait Laboratory analysis software
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Apnoea monitor repair
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Electronic engineers discussing a medical device design
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Precision machining for a medical device
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for physiological measurements
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Validation and calibration of digital pressure monitors
Etalonnage et vérification des instruments numériques de mesure de pression
Image courtesy of Dr Fedele(GSTT) Image courtesy of Dr Coleman (GSTT)
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Electrical testing of monitoring equipment
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Urgent repair needed for an ECG monitoring head
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Vestibular function test
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Assessing visual function
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Mobile phone antenna monitoring for staff safety
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Electromagnetic compatibility testing at component level
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists working for the safety of staff and patients
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Assessment of a surgical light against the Control of Artificial Optical Radiation at Work 2010 regulations
Vérification de la lumière chirologienne émis contre la réglementation anglais Control of Artificial Optical Radiation
at Work 2010
Image courtesy of Dr Fedele(GSTT)
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Checking radiation leakage from a radiotherapy vault
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Radiation monitoring around a radiotherapy installation
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Calibrating a radiation contamination monitor
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Checking for radiation leakage from an accelerator head using x-ray films to identify where to make measurements
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Searching for a lost radioactive source in compacted waste
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
Testing and calibrating a contamination monitor
Placement de l’applicateur des électrons pour l’accélérateur linéaire
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SFPM-EFOMP 12 June 2012
Medical physicists – improving treatments, saving lives
AcknowledgementsThe EFOMP expresses its grateful thanks all those individuals and institutions who have contributed to this presentation with photographs and permissions, particularly the following:
Department of Health, UK GovernmentIPEM, UKHospital Physicists’ Association (HPA Unite), UKServiço de Física Médica, IPOCFG, E.P.E., Coimbra, PortugalSheffield Teaching Hospital, UKUniversity of Aberdeen, ScotlandGuy’s and St Thomas NHS Foundation Trust (GSTT, London)The Open University, UKQueen's Centre for Oncology, Hull, UKNottingham University Hospitals NHS TrustBeatson Oncology Centre Glasgow, ScotlandChurchill Hospital, Oxford, UKKent Oncology Centre, UKSt Bartholomew's NHS Hospital, UKMaidstone and Tunbridge Wells NHS Trust