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Parallel Opposed Whole Brain
Sim Lecture
30
Psychology
Not Applicable
10/10/2005

Additional Psychology Flashcards

 


 

Cards

Term
Brain Mets
Definition
The most frequently seen CNS tumors
Term
lung

breast

gastrointestinal

Definition
Brain mets may come from any primary site within the body including the head/neck, prostate, and melanoma.

Name the 3 most common sites that are sources for brain mets.

Term
25%
Definition
Brain mets occurs in about ____% of patients with cancer.
Term
CT w/contrast

MRI

Definition
what diagnostic procedures are used to evaluate patients for brain mets
Term
nausea

edema

Definition
name 2 symptoms of brain mets
Term
dexamethasone

edema (swelling)

Definition
if brain mets is confirmed, the patient should be placed on what drug?

Why?

Term
the inability of some chemo drugs crossing the blood brain barrier
Definition
Radiation is the treatment of choice over chemo...Why?
Term
supratentorial compartment
Definition
80% of parenchymal mets occur where?
Term
cerebrum (or front of brain) - composed of the right and left hemispheres
Definition
where is the supratentorial compartment
Term
T

small cell or oat cell lung cancer

Definition
T or F

some cancers have a greater frequency of brain mets, therefore, the brain is treated prophylactically

if T, name 1

Term
skull

dura

arachnoid

pia

parenchymal substance

Definition
What are the most common areas for brain mets (5)
Term
headache

weakness

cognitive or affective disturbance

vertigo

seizures

Definition
The presenting symptoms of brain mets are (5) ?
Term
Headache
Definition
What is the most frequent symptom of brain mets?
Term
1 cm flash off skin of top of head
Definition
FIELD BORDERS FOR A WHOLE BRAIN FIELD FOR METASTATIC DISEASE:

Superior ?

Term
Cervical Vertebrae C-2
Definition
FIELD BORDERS FOR A WHOLE BRAIN FIELD FOR METASTATIC DISEASE:

Inferior ?

Term
1 cm flash off skin of ant portion of the frontal bone
Definition
FIELD BORDERS FOR A WHOLE BRAIN FIELD FOR METASTATIC DISEASE:

Anterior ?

Term
1 cm flash off skin of post portion of the occipital bone
Definition
FIELD BORDERS FOR A WHOLE BRAIN FIELD FOR METASTATIC DISEASE:

Posterior ?

Term
TAD
Definition
Treatment Technique
Term
Parallel Opposed Lateral Fields
Definition
Field Arrangement
Term
infraorbitomeatal line
Definition
field borders for a whole brain CLINICAL SETUP:

Inferior ?

Term
3000 cGy in 10 fractions @ midplane
Definition
The dose for metastatic disease is ?
Term
5000 cGy in 5 weeks + boost
Definition
The dose for primary disease is ?
Term
Lens of eye: 200 cateracts, 500 blindness

Spinal Cord: 4500

Definition
When treating whole brain what are the critical organs + td 5/5's
Term
Alopecia

Epilation

Definition
When treating whole brain what are the side effects
Term
1-2 months
Definition
patient survival, brain mets left untreated
Term
3-6 months
Definition
patient survival, brain mets patient receives radiation and steroids
Term
yes
Definition
is blocking used
Term
B headrest
Definition
most common headrest used
Term
exit beam does not pass through the lens of the opposite eye
Definition
what should be checked in regards to exiting beam
Term
teeth

lens of eye

mandible

Definition
what structures are blocked when treating whole brain
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