Prelim Topic 2 Flashcards
(29 cards)
Intial multi-disciplinary evaluation of px, decision for radthera, assement of pathbiology of tumor and staging
Clinical evaluation
Selection of treatment goals/palliation, choice of modalities of treatment
Therapeutic decision making
Definition of tumor extent and potential routes of spread, identification of sensitive critical organs and tissue
Target volume localization
Selection of treatment technique, computation of dose distribution and verification of accuracy, determination of dose/time/volume/relationship
Treatment planning
Selection of immobilization devices, radiographic documentation of treatment ports, measurement of px, shaping fields
Simulation of treatment
Constructions of custom blocks, compensating filters, positioning and immobilization devices
Fabrication of treatment aids
Initial verifcation of treatment set up, continual assessment of equipment performance
Treatment
Evaluation of tumor response, assessment of tolerance to treatment
Px evaluation during treatment
Evaluation of tumor control, assessement of complications
Follow-up evaluation
Clinical evaluation, therapeutic decision making, target volume localization usually done by?
oncologist
Treatment planning is done by?
Physicist
Simulation of treatment is done by?
Oncologist and technologist
Fabrication of treatment aids, treatment, px evaluation during treatment, follow-up evaluation is done by?
Technologist
May refer px for treatment
Primary care physician
A __ may refer a patient prior or after surgery
surgeon
A patient may be referred for radiation therapy by __ who will wish to use chemotherapy in connection with radiation therapy.
chemotherapist
Radiation therapy unit itself may be situated in a variety of setting what are those 3 setting?
Found in office or clinic, any location in the building, lower levels more often basement
2 Reasons behind the location in the basement?
Amount of shielding required for use of these units walls for cobalt are usually 1mm thick
Examination of px to determine the?
Suitability of radthera treatment
Evaluation of px done by the?
Radiation oncologist
Factors in which evaluation will rest
Disease state of px
History of previous medical intervention
Availability of other forms of treatment
Probability of radthera
Cure
Symptotic relief
Ways of outlining treatment portal
Use of indelible dyes
Use of dyes visible under black light
Use of tattoos
Critical organs
Lens of eyes
Spinal cord
Kidneys
