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Radiation Therapy
N/A
40
Pharmacology
Professional
04/25/2013

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Cards

Term
three modalities used in treatment of cancer
Definition
radiation therapy
cancer
chemotherapy
Term
__ or __ are treated with cancericidal doses of ionizing radiation as prescribed by a radiation oncologist
Definition
tumors, lesions
Term
radiation therapy is used after surgery when a patient is deemed to be at high risk for ___
Definition
recurrence in surgical bed
Term
most often delivered ____ for ___ weeks
Definition
daily, mon-fri
2-8
Term
dosages range from ____ for palliation and ___ for curative treatment (total dose)
Definition
2000 cGy
8000 cGy
Term
delievery of small amount of radiation per day (180-200 cGy) for certain treatments
Definition
Fractionation
Term
fractionation helps to minimize:
Definition
acute toxic effect of radiation
Term
radiation therapy team
Definition
-radiation oncologist
-medical physicist
-medical dosimetrist
-radiation therapist
-oncology nurse
Term
responsibilities of a radiation therapist
Definition
obtaining radiographs or CT scans
administering treatments
keeping accurate records of doses
monitoring patient's well-being
Term
in the early days of xray, biological effects of ionizing radiation included:
Definition
epilation
erythema
Term
Dr. Emile Grubbe irradiated a woman with a carcinoma on her left breast on ___
Definition
Jan 29, 1896
Term
in ___, Dr. Clarence Skinner performed the first curative treatment using ionizing radiation on a woman with malignant fibrosarcoma
in ___ the woman was delclared free of her cancer
Definition
Jan 1902
Apr 1909
Term
two major categories for application of radiation for cancer treatment
Definition
external beam
bracytherapy
Term
also called teletherapy
patient lies underneath a machine that emits radiation
Definition
external beam therapy
Term
radioactive material is placed in the patient
three techniques
Definition
brachytherapy
Term
first technique of brachytherapy
radioactive source is plaed in close proximity to lesion
Definition
mould technique
Term
second type of brachytherapy
placemetn of radioactive source in a body cavity
Definition
intracavitary implant technique
Term
third type of brachytherapy
radioactive source is placed directly into tumor site and adjacent tissue
Definition
interstitial implant technique
Term
for treatment of superficial lesions
Definition
120 kVp superficial xray unit
Term
for treatment of moderately superficial lesions
Definition
250 kVp orthovoltage unit
Term
average energy is 1.25 MeV
known as the "work horse" because of its reliability and mechanical simplicity
first machine to rotate 360 around patient
Definition
cobalt 60 gamma ray source
Term
average energy is 1.25 MeV
known as the "work horse" because of its reliability and mechanical simplicity
first machine to rotate 360 around patient
Definition
cobalt 60 gamma ray source
Term
machine rotates around fixed point and maintains same distance from radiation source
Definition
isocentric machine
Term
source for high energy beam
most suitable for tumors deep in body
developed in 1952
modern version has "dualing asymmetric jaws" for collimation
Definition
6-35 MV linear accelerator/betatron
Term
steps in radiation therapy
Definition
1. simulation
2. dosimetry
3. treatment
Term
radiation therapist uses fluoro to determine field dimensions and depth of isocenter per oncologist
treatment planning
treatment field is outlined
Definition
simulation
Term
the measurement of radiation dose and its distribution throughout the patient's body
Definition
dosimetry
Term
___ monitors the dosage that critical anatomy is receiving and keeps the dose within established guidelines
Definition
dosimetrist
Term
ensuring optimum treatment requires
Definition
-precision positioning of machine
-proper selectrion of treatment field
-accurate placement of cerrobend blocks
-implementation of any changes in treatment plan
Term
produce a digital iamge that is displayed on a computer screen adjacent to linac computer console
Definition
Electronic Portal Imaging Devices (EPIDs)
Term
linac
Definition
linear accelerators
Term
5000-6000 cGy of 10 MeV applied AP, PA and oblique
therapy used in conjunction with surgery and chemo
Definition
lung cancer
Term
4 fields are used- AP, PA, right and left lat using 10 MV and 7000 cGy
Definition
prostate cancer
Term
small lesion can be treated with 6000 cGy for 4 weeks with orthovoltage beam
Definition
head and neck cancers
Term
uses two tangential fields to chest wall or intact breast
MV radiation delivers 5000 cGy in 5 weeks
Definition
breast cancer
Term
an additional ____ for lumpectomy
Definition
1000 cGy
Term
cancer of the ___ is best treated with megavoltage radiation
Definition
larynx
Term
tumors confined to the true vocal cords have a ___% __ year cure rate
Definition
90%
5
Term
cure rates end to run between __ and __% and basal cell lesions less than __ in diameter have a cure rate of almost 100%
Definition
80 and 90%
1 cm
Term
a medulloblastoma tumor is radiosensitive and patients who have had traetment of the entire cerebrospinal axis have a ___ year cure rate of greater than __%
Definition
5 year
60
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