lesson 1 & 2 Flashcards

1
Q
  • It is a medical specialty that involves the treatment of MALIGNANT AND BENIGN tumors by the application
    of ionizing radiation.
  • Often referred to as RADIATION ONCOLOGY
A

RADIATION THERAPY

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2
Q

field of radiation therapy began to grow largely due to the groundbreaking discovery of radioactive elements BLANK by Marie Curie.

A

Polonium and Radium

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3
Q

Roentgen’s unknown rays discovered in

A

1895

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4
Q

Chicago electrician and metallurgist, with a physician friend first treated the recurrent breast
cancer of a 55-year-old woman in the last days of January 26 1896–only weeks after the announcement of
Roentgen’s discovery. He continued his research but eventually contracted skin cancer and lost his left hand

A

Emil Grubbe

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5
Q

they isolated the elements emitting Becquerel’s natural radioactivity

A

Curies (Pierre & Marie)

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6
Q

the first cancer, the basal cell carcinoma, has been cured by radiation

A

1899

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7
Q

they utilized fractionated doses of radiation(smaller doses rather than large single doses)could achieved the same tumor response without serious injury to adjacent normal tissue

A

Claude Regaud & Henri Coutard

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8
Q

radiation dose necessary to cause redness of skin to estimate the proper length of treatment

A

Erythema dose

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9
Q

Other name of International Committee on Radiation Units (ICRU)

A

International Commission on
Radiation Units and Measurements

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10
Q

began the use of Cobalt 60 unit and LINACS for external beam RT(EBRT)

A

1950’s

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11
Q

A new growth of tissue characterized by progressive, uncontrolled proliferation of cells.

A

TUMOR

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12
Q

Are able to ignore signals that normally tell cells to stop dividing or that begin a process known as

A

programmed cell death, or apoptosis

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13
Q
  • The most common type of cancer.
  • Begins in the skin or in tissues that line or cover (epithelial cells) internal organs.
  • Formed by epithelial cells, which are the cells that cover the inside and outside surfaces of the body.
A

CARCINOMA

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14
Q
  • Cancer that forms in epithelial cells that produce fluids or mucus.
  • Tissues with this type of epithelial cell are sometimes called glandular tissues.
  • Most cancers of the breast, colon, and prostate are BLANK.
A

ADENOCARCINOMA

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15
Q

A cancer that begins in the lower or basal (base) layer of the epidermis

A

BASAL CELL CARCINOMA

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16
Q

is the most common type of skin cancer, its not life threatening but if left untreated will grow wide and spread to other parts of the body

A

SQUAMOUS CELL CARCINOMA

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17
Q

Cancers that form in bone and soft tissues, including muscle, fat, blood vessels, lymph vessels, and fibrous tissue (such as tendons and ligaments)

A

SARCOMA

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18
Q
  • Cancers that begin in the blood-forming tissue of the bone marrow.
  • These cancers do not form solid tumors
A

LEUKEMIA

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19
Q
  • Cancer that begins in lymphocytes (T cells or B cells).
  • These are disease-fighting white blood cells part of the immune system. In BLANK, abnormal lymphocytes build up in lymph nodes and lymph vessels, as well as in other body organs.
20
Q

TWO MAIN TYPES OF LYMPHOMA

A
  • HODGKIN LYMPHOMA
  • NON-HODGKIN LYMPHOMA
21
Q
  • People with this disease have abnormal lymphocytes that are called Reed-Sternberg cells.
  • Highly curable
A

HODGKIN LYMPHOMA

22
Q
  • This is a large group of cancers that start in lymphocytes. The cancers can grow quickly or slowly and can form from B cells or T cells.
  • If in examining the cells, the doctor detects the presence of a specific type of abnormal cell called a Reed-Sternberg cell, the lymphoma is classified as Hodgkin’s. If the Reed-Sternberg the cell is not present, the lymphoma is classified as non-Hodgkin’s
A

NON-HODGKIN LYMPHOMA

23
Q
  • These cancers look very similar to the surrounding normal cells.
  • It can be difficult for a pathologist to tell the difference between the cancer and the
    normal cells.
  • Grow and spread more slowly than poorly differentiated or undifferentiated cancer cell
A

WELL DIFFERENTIATED CELLS (LOW GRADE)

24
Q

The cells in these cancers are clearly abnormal looking but they still share some features with the
surrounding normal cells.

A

MODERATELY DIFFERENTIATED

25
* These cancers look very abnormal. * When the cells from a poorly differentiated tumor travel to a LYMPH NODES or other part of the body, additional tests such as immunohistochemistry may be required to determine the type of tumour and where it started
POORLY DIFFERENTIATED
26
* These cancers look completely different from normal cells anywhere in the body. Even with additional tests, it is often very difficult for a pathologist to determine where this type of tumor started * BLANK cancer cells often grow and spread quickly.
UNDIFFERENTIATED (HIGH GRADE)
27
* Physician skilled in the act of applying radiation in the treatment of malignant/benign tumors * Prescribed the amount of radiation dose to kill the tumor
RADIATION ONCOLOGIST
28
Performs Dosimetry works, Calibration, and design treatment plans by means of computer or manual computation of radiation Doses.
MEDICAL PHYSICIST AND MEDICAL DOSIMETRIST
29
Executes the treatment plan in accordance with the prescription and instruction from the Radiation Oncologist
RADIATION THERAPY TECHNOLOGIST
30
is composed of nucleus & orbiting electrons
ATOM
31
number of protons
Atomic number (Z)
32
protons + neutrons) or nucleons
Mass number (A)
33
* spontaneous emission of energy through matter or space * energy that travels through matter and space * the emission and transfer of energy through matter
Radiation
34
➢ radiation that is not capable of ejecting an electron from an atom or not capable of producing ion pairs. ➢ Ex. Infrared, light, microwave, sound and radio wave
Non-Ionizing Radiation
35
➢ radiation that is capable of removing an electron from an atom or capable of producing ion pair Ex. X-ray, gamma ray, all particulate radiation
Ionizing Radiation
36
* no mass * no charge * unaffected by electrical or magnetic fields * has a constant speed in a given medium (speed of light:186,000 mi/s or 3x108m/s) * Travels in a straight line; however, its trajectory can be altered by interaction with matter. This interaction can occur either by absorption (removal of the radiation) or scattering (change in trajectory) * characterized by wavelength (λ), frequency (υ), and energy
Electromagnetic Radiation (EMR) or Non-particulate Radiation
37
* Electron, proton, and even rare nuclear fragments can be classified as particulate ionizing radiation if they are in motion and possess sufficient kinetic energy. * At rest, they cannot cause ionization * Has mass * Has charge or may not in case of neutron
Particulate Radiation
38
The spontaneous disintegration or decay of an unstable atom, resulting in the release of energy (radiation)
Radioactivity
39
Any material that is composed of (or contains) radioactive atoms
Radioactive material
40
Any atom or molecule with an imbalance in electrical charge. BLANK are very unstable and will seek electrical neutrality by reacting with other atoms or molecules
Ion
41
The number of disintegrations (decays) occurring per unit of time
Activity
42
The time it takes for an amount of radioactive material to lose half (50%) of its activity because of decay
Half Life
43
is produced by unstable atoms. Unstable atoms differ from stable atoms because they have an excess of energy or mass or both
Ionizing radiation:
44
are said to be radioactive. To reach stability, these atoms give off, or emit, the excess energy or mass. These emissions are called radiation
Unstable atoms
45
alpha, beta, gamma, and X-rays, has enough energy to remove electrons from atoms and molecules, creating ions are all examples of
Ionizing radiation
46
Biological tissues are mostly composed of water (about 70-80%). When ionizing radiation interacts with water molecules, it can cause the water to dissociate into free radicals, primarily hydroxyl radicals (OH*) and hydrogen atoms (H*)
INDIRECT IONIZATION (Water Radiolysis)